Spring Creek Healthcare Center - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465049
Provider Name
SPRING CREEK HEALTHCARE CENTER
Provider Address
4600 SOUTH HIGHLAND DRIVE
SALT LAKE CITY, UT 84117
SALT LAKE CITY, UT 84117
Provider Phone Number
(801) 272-1892
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-04-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
2
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
2.32157
Reported LPN Staffing Hours per Resident per Day
0.41176
Reported RN Staffing Hours per Resident per Day
1.44804
Reported Licensed Staffing Hours per Resident per Day
1.85980
Reported Total Nurse Staffing Hours per Resident per Day
4.18137
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12451
Expected CNA Staffing Hours per Resident per Day
2.50050
Expected LPN Staffing Hours per Resident per Day
0.77616
Expected RN Staffing Hours per Resident per Day
1.31376
Expected Total Nurse Staffing Hours per Resident per Day
4.59042
Adjusted CNA Staffing Hours per Resident per Day
2.27812
Adjusted LPN Staffing Hours per Resident per Day
0.44032
Adjusted RN Staffing Hours per Resident per Day
0.82357
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67170
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
205
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
205
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
91.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
8350
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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