Walbridge Memorial Convalescent Wing - Meeker Nursing Home

General Information

UPDATE
Federal Provider Number
65264
Provider Name
WALBRIDGE MEMORIAL CONVALESCENT WING
Provider Address
345 CLEVELAND STREET
MEEKER, CO 81641
Provider Phone Number
9708785047
Provider SSA County
510
Provider County Name
Rio Blanco
Ownership Type
Government - Hospital district
Number of Certified Beds
33
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTERN RIO BLANCO COUNTY HEALTH
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.84211
Reported LPN Staffing Hours per Resident per Day
0.27105
Reported RN Staffing Hours per Resident per Day
1.85526
Reported Licensed Staffing Hours per Resident per Day
2.12632
Reported Total Nurse Staffing Hours per Resident per Day
4.96842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00789
Expected CNA Staffing Hours per Resident per Day
2.04519
Expected LPN Staffing Hours per Resident per Day
0.62102
Expected RN Staffing Hours per Resident per Day
0.89565
Expected Total Nurse Staffing Hours per Resident per Day
3.56185
Adjusted CNA Staffing Hours per Resident per Day
3.40981
Adjusted LPN Staffing Hours per Resident per Day
0.36226
Adjusted RN Staffing Hours per Resident per Day
1.54776
Adjusted Total Nurse Staffing Hours per Resident per Day
5.62269
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
2014-04-09
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.00000
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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