San Juan Living Center - Montrose Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65195
Provider Name
SAN JUAN LIVING CENTER
Provider Address
1043 RIDGE STREET
MONTROSE, CO 81401
MONTROSE, CO 81401
Provider Phone Number
(970) 249-9683
Provider SSA County
420
Provider County Name
Montrose
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC MONTROSE SAN JUAN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-27
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07214
Reported LPN Staffing Hours per Resident per Day
0.69071
Reported RN Staffing Hours per Resident per Day
0.67500
Reported Licensed Staffing Hours per Resident per Day
1.36571
Reported Total Nurse Staffing Hours per Resident per Day
3.43785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12857
Expected CNA Staffing Hours per Resident per Day
2.29002
Expected LPN Staffing Hours per Resident per Day
0.62848
Expected RN Staffing Hours per Resident per Day
1.03716
Expected Total Nurse Staffing Hours per Resident per Day
3.95566
Adjusted CNA Staffing Hours per Resident per Day
2.22025
Adjusted LPN Staffing Hours per Resident per Day
0.91218
Adjusted RN Staffing Hours per Resident per Day
0.48629
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50324
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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