Springs Village Care Center - Colorado Springs Nursing Home
General Information
UPDATEFederal Provider Number
65247
Provider Name
SPRINGS VILLAGE CARE CENTER
Provider Address
110 WEST VAN BUREN STREET
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
Provider Phone Number
(719) 475-8686
Provider SSA County
200
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-COLORADO LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
3.61370
Reported LPN Staffing Hours per Resident per Day
1.48562
Reported RN Staffing Hours per Resident per Day
1.08493
Reported Licensed Staffing Hours per Resident per Day
2.57055
Reported Total Nurse Staffing Hours per Resident per Day
6.18425
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06096
Expected CNA Staffing Hours per Resident per Day
2.30186
Expected LPN Staffing Hours per Resident per Day
0.60530
Expected RN Staffing Hours per Resident per Day
1.03290
Expected Total Nurse Staffing Hours per Resident per Day
3.94006
Adjusted CNA Staffing Hours per Resident per Day
3.85208
Adjusted LPN Staffing Hours per Resident per Day
2.03711
Adjusted RN Staffing Hours per Resident per Day
0.78484
Adjusted Total Nurse Staffing Hours per Resident per Day
6.32683
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
44
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
314
Cycle 2 Standard Health Survey Date
2013-06-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
314
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
132.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
5688
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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