Sublette Center - Pinedale Nursing Home
General Information
UPDATEFederal Provider Number
535017
Provider Name
SUBLETTE CENTER
Provider Address
333 N BRIDGER AVE
PINEDALE, WY 82941
PINEDALE, WY 82941
Provider Phone Number
(307) 367-4161
Provider SSA County
170
Provider County Name
Sublette
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUBLETTE CENTER
Date First Approved to Provide Medicare and Medicaid services
1982-05-20
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.05972
Reported LPN Staffing Hours per Resident per Day
0.47917
Reported RN Staffing Hours per Resident per Day
0.87083
Reported Licensed Staffing Hours per Resident per Day
1.35000
Reported Total Nurse Staffing Hours per Resident per Day
3.40972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02917
Expected CNA Staffing Hours per Resident per Day
2.20234
Expected LPN Staffing Hours per Resident per Day
0.69661
Expected RN Staffing Hours per Resident per Day
0.95633
Expected Total Nurse Staffing Hours per Resident per Day
3.85528
Adjusted CNA Staffing Hours per Resident per Day
2.29480
Adjusted LPN Staffing Hours per Resident per Day
0.57092
Adjusted RN Staffing Hours per Resident per Day
0.68040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56505
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
32
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
31.33300
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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