Shepherd Of The Valley Healthcare Center - Casper Nursing Home
General Information
UPDATEFederal Provider Number
535042
Provider Name
SHEPHERD OF THE VALLEY HEALTHCARE CENTER
Provider Address
60 MAGNOLIA
CASPER, WY 82604
CASPER, WY 82604
Provider Phone Number
(307) 234-9381
Provider SSA County
120
Provider County Name
Natrona
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
192
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CASPER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-11-01
Continuing Care Retirement Community
Y
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
Partial
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.10906
Reported LPN Staffing Hours per Resident per Day
0.40500
Reported RN Staffing Hours per Resident per Day
1.02938
Reported Licensed Staffing Hours per Resident per Day
1.43438
Reported Total Nurse Staffing Hours per Resident per Day
3.54344
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06750
Expected CNA Staffing Hours per Resident per Day
2.25115
Expected LPN Staffing Hours per Resident per Day
0.60976
Expected RN Staffing Hours per Resident per Day
0.96758
Expected Total Nurse Staffing Hours per Resident per Day
3.82849
Adjusted CNA Staffing Hours per Resident per Day
2.29883
Adjusted LPN Staffing Hours per Resident per Day
0.55128
Adjusted RN Staffing Hours per Resident per Day
0.79492
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73078
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
164
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
164
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
116.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
18
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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