Spanish Peaks Veterans Community Living Center - Walsenburg Nursing Home

General Information

UPDATE
Federal Provider Number
06A190
Provider Name
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER
Provider Address
23500 U S HIGHWAY 160
WALSENBURG, CO 81089
Provider Phone Number
7197385100
Provider SSA County
270
Provider County Name
Huerfano
Ownership Type
Government - State
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-12-31
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
4
QM Rating Footnote
Staffing Rating
5
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
2.95140
Reported LPN Staffing Hours per Resident per Day
0.77430
Reported RN Staffing Hours per Resident per Day
0.95514
Reported Licensed Staffing Hours per Resident per Day
1.72944
Reported Total Nurse Staffing Hours per Resident per Day
4.68084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.34339
Expected LPN Staffing Hours per Resident per Day
0.61850
Expected RN Staffing Hours per Resident per Day
0.84349
Expected Total Nurse Staffing Hours per Resident per Day
3.80538
Adjusted CNA Staffing Hours per Resident per Day
3.09034
Adjusted LPN Staffing Hours per Resident per Day
1.03908
Adjusted RN Staffing Hours per Resident per Day
0.84610
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95825
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
64
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-25
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
1
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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