Rocky Mountain Care - Hunter Hollow - West Valley City Nursing Home
General Information
UPDATEFederal Provider Number
465075
Provider Name
ROCKY MOUNTAIN CARE - HUNTER HOLLOW
Provider Address
4090 WEST PIONEER PARKWAY
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
Provider Phone Number
(801) 397-4400
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
124
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BCVV, INC
Date First Approved to Provide Medicare and Medicaid services
1980-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.06038
Reported LPN Staffing Hours per Resident per Day
0.31792
Reported RN Staffing Hours per Resident per Day
1.47170
Reported Licensed Staffing Hours per Resident per Day
1.78962
Reported Total Nurse Staffing Hours per Resident per Day
4.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18208
Expected CNA Staffing Hours per Resident per Day
2.80039
Expected LPN Staffing Hours per Resident per Day
0.83393
Expected RN Staffing Hours per Resident per Day
1.35260
Expected Total Nurse Staffing Hours per Resident per Day
4.98692
Adjusted CNA Staffing Hours per Resident per Day
2.68150
Adjusted LPN Staffing Hours per Resident per Day
0.31642
Adjusted RN Staffing Hours per Resident per Day
0.81299
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92023
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
3510
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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