Stonehenge Of Orem - Orem Nursing Home

General Information

UPDATE
Federal Provider Number
465167
Provider Name
STONEHENGE OF OREM
Provider Address
435 WEST CENTER STREET
OREM, UT 84057
Provider Phone Number
(801) 850-5454
Provider SSA County
240
Provider County Name
Utah
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
36
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
STONEHENGE OF OREM, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-01-12
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13966
Reported LPN Staffing Hours per Resident per Day
0.72414
Reported RN Staffing Hours per Resident per Day
1.66207
Reported Licensed Staffing Hours per Resident per Day
2.38621
Reported Total Nurse Staffing Hours per Resident per Day
5.52587
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38448
Expected CNA Staffing Hours per Resident per Day
2.40867
Expected LPN Staffing Hours per Resident per Day
0.84910
Expected RN Staffing Hours per Resident per Day
1.84852
Expected Total Nurse Staffing Hours per Resident per Day
5.10629
Adjusted CNA Staffing Hours per Resident per Day
3.19835
Adjusted LPN Staffing Hours per Resident per Day
0.70785
Adjusted RN Staffing Hours per Resident per Day
0.67183
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36212
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-04-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
4.00000
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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