Willow Glen Health And Rehab, Llc - Brigham City Nursing Home
General Information
UPDATEFederal Provider Number
465093
Provider Name
WILLOW GLEN HEALTH AND REHAB, LLC
Provider Address
775 NORTH 200 EAST
BRIGHAM CITY, UT 84302
BRIGHAM CITY, UT 84302
Provider Phone Number
4357237777
Provider SSA County
10
Provider County Name
Box Elder
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW GLEN HEALTH & REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
3.39268
Reported LPN Staffing Hours per Resident per Day
0.45976
Reported RN Staffing Hours per Resident per Day
1.67439
Reported Licensed Staffing Hours per Resident per Day
2.13415
Reported Total Nurse Staffing Hours per Resident per Day
5.52683
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11463
Expected CNA Staffing Hours per Resident per Day
2.59570
Expected LPN Staffing Hours per Resident per Day
0.74268
Expected RN Staffing Hours per Resident per Day
1.33659
Expected Total Nurse Staffing Hours per Resident per Day
4.67498
Adjusted CNA Staffing Hours per Resident per Day
3.20708
Adjusted LPN Staffing Hours per Resident per Day
0.51381
Adjusted RN Staffing Hours per Resident per Day
0.93604
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76539
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
2014-05-01
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
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-05-02
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-05-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Pioneer Care Center
815 South 200 West |
BRIGHAM CITY UT 84302 | 2.2 miles away
Bear River Valley Care Center
460 West 600 North |
TREMONTON UT 84337 | 15.7 miles away
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