Villa Manor Care Center - Lakewood Nursing Home

General Information

UPDATE
Federal Provider Number
65092
Provider Name
VILLA MANOR CARE CENTER
Provider Address
7950 WEST MISSISSIPPI AVENUE
LAKEWOOD, CO 80226
Provider Phone Number
3039864511
Provider SSA County
290
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE ASSOCIATES IV LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1971-01-04
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.14649
Reported LPN Staffing Hours per Resident per Day
1.06053
Reported RN Staffing Hours per Resident per Day
1.20351
Reported Licensed Staffing Hours per Resident per Day
2.26404
Reported Total Nurse Staffing Hours per Resident per Day
4.41053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24035
Expected CNA Staffing Hours per Resident per Day
2.49041
Expected LPN Staffing Hours per Resident per Day
0.71935
Expected RN Staffing Hours per Resident per Day
1.05153
Expected Total Nurse Staffing Hours per Resident per Day
4.26129
Adjusted CNA Staffing Hours per Resident per Day
2.11485
Adjusted LPN Staffing Hours per Resident per Day
1.22366
Adjusted RN Staffing Hours per Resident per Day
0.85520
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17208
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-04-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
50.00000
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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