St Marks Hospital Transitional Care - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465140
Provider Name
ST MARKS HOSPITAL TRANSITIONAL CARE
Provider Address
1200 EAST 3900 SOUTH
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
Provider Phone Number
(801) 293-6821
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
14
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
NORTHERN UTAH HEALTHCARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1994-10-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
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
1.70000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
4.61364
Reported Licensed Staffing Hours per Resident per Day
4.61364
Reported Total Nurse Staffing Hours per Resident per Day
6.31364
Reported Physical Therapist Staffing Hours per Resident Per Day
1.16818
Expected CNA Staffing Hours per Resident per Day
2.15725
Expected LPN Staffing Hours per Resident per Day
0.89115
Expected RN Staffing Hours per Resident per Day
2.14026
Expected Total Nurse Staffing Hours per Resident per Day
5.18865
Adjusted CNA Staffing Hours per Resident per Day
1.93362
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.61070
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90487
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-08
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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