Utah Nursing Homes >> American Fork Nursing Homes >> Stonehenge Of American Fork

Stonehenge Of American Fork - American Fork Nursing Home

General Information

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Federal Provider Number
465178
Provider Name
STONEHENGE OF AMERICAN FORK
Provider Address
538 S 500 E
AMERICAN FORK, UT 84003
Provider Phone Number
(801) 642-2000
Provider SSA County
240
Provider County Name
Utah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEHENGE OF AMERICAN FORK, LLC
Date First Approved to Provide Medicare and Medicaid services
2012-09-21
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.90867
Reported LPN Staffing Hours per Resident per Day
0.44867
Reported RN Staffing Hours per Resident per Day
1.78267
Reported Licensed Staffing Hours per Resident per Day
2.23133
Reported Total Nurse Staffing Hours per Resident per Day
5.14001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26867
Expected CNA Staffing Hours per Resident per Day
2.64708
Expected LPN Staffing Hours per Resident per Day
0.75400
Expected RN Staffing Hours per Resident per Day
1.42005
Expected Total Nurse Staffing Hours per Resident per Day
4.82112
Adjusted CNA Staffing Hours per Resident per Day
2.69618
Adjusted LPN Staffing Hours per Resident per Day
0.49390
Adjusted RN Staffing Hours per Resident per Day
0.93801
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29752
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
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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