University Park Care Center - Pueblo Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65231
Provider Name
UNIVERSITY PARK CARE CENTER
Provider Address
945 DESERT FLOWER BOULEVARD
PUEBLO, CO 81001
PUEBLO, CO 81001
Provider Phone Number
(719) 545-5321
Provider SSA County
500
Provider County Name
Pueblo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUEBLO MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-02-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.57444
Reported LPN Staffing Hours per Resident per Day
0.67556
Reported RN Staffing Hours per Resident per Day
0.85370
Reported Licensed Staffing Hours per Resident per Day
1.52926
Reported Total Nurse Staffing Hours per Resident per Day
4.10370
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04111
Expected CNA Staffing Hours per Resident per Day
2.71560
Expected LPN Staffing Hours per Resident per Day
0.64845
Expected RN Staffing Hours per Resident per Day
0.92726
Expected Total Nurse Staffing Hours per Resident per Day
4.29132
Adjusted CNA Staffing Hours per Resident per Day
2.32615
Adjusted LPN Staffing Hours per Resident per Day
0.86470
Adjusted RN Staffing Hours per Resident per Day
0.68792
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85467
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
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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