Star Valley Care Center - Afton Nursing Home
General Information
UPDATEFederal Provider Number
53A050
Provider Name
STAR VALLEY CARE CENTER
Provider Address
110 HOSPITAL LANE
AFTON, WY 83110
AFTON, WY 83110
Provider Phone Number
(307) 885-5900
Provider SSA County
110
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
24
Number of Residents in Certified Beds
23
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-12-03
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
4
Health Inspection Rating Footnote
QM Rating
1
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
3.08696
Reported LPN Staffing Hours per Resident per Day
0.24783
Reported RN Staffing Hours per Resident per Day
1.16739
Reported Licensed Staffing Hours per Resident per Day
1.41522
Reported Total Nurse Staffing Hours per Resident per Day
4.50218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06304
Expected CNA Staffing Hours per Resident per Day
2.56803
Expected LPN Staffing Hours per Resident per Day
0.63333
Expected RN Staffing Hours per Resident per Day
0.85629
Expected Total Nurse Staffing Hours per Resident per Day
4.05765
Adjusted CNA Staffing Hours per Resident per Day
2.94953
Adjusted LPN Staffing Hours per Resident per Day
0.32479
Adjusted RN Staffing Hours per Resident per Day
1.01867
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47250
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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