Rocky Mountain Care - Willow Springs - Tooele Nursing Home
General Information
UPDATEFederal Provider Number
465089
Provider Name
ROCKY MOUNTAIN CARE - WILLOW SPRINGS
Provider Address
140 EAST 200 SOUTH
TOOELE, UT 84074
TOOELE, UT 84074
Provider Phone Number
8013974200
Provider SSA County
220
Provider County Name
Tooele
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVER VALLEY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1982-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
3.27119
Reported LPN Staffing Hours per Resident per Day
0.39068
Reported RN Staffing Hours per Resident per Day
1.16186
Reported Licensed Staffing Hours per Resident per Day
1.55254
Reported Total Nurse Staffing Hours per Resident per Day
4.82373
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15593
Expected CNA Staffing Hours per Resident per Day
2.90903
Expected LPN Staffing Hours per Resident per Day
0.75615
Expected RN Staffing Hours per Resident per Day
1.14912
Expected Total Nurse Staffing Hours per Resident per Day
4.81430
Adjusted CNA Staffing Hours per Resident per Day
2.75917
Adjusted LPN Staffing Hours per Resident per Day
0.42884
Adjusted RN Staffing Hours per Resident per Day
0.75548
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03880
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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