Willow Tree Care Center - Delta Nursing Home

General Information

UPDATE
Federal Provider Number
65249
Provider Name
WILLOW TREE CARE CENTER
Provider Address
2050 SOUTH MAIN STREET
DELTA, CO 81416
Provider Phone Number
9708749773
Provider SSA County
140
Provider County Name
Delta
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-COLORADO LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
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
3.00152
Reported LPN Staffing Hours per Resident per Day
0.42727
Reported RN Staffing Hours per Resident per Day
1.32879
Reported Licensed Staffing Hours per Resident per Day
1.75606
Reported Total Nurse Staffing Hours per Resident per Day
4.75758
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03636
Expected CNA Staffing Hours per Resident per Day
2.23751
Expected LPN Staffing Hours per Resident per Day
0.60976
Expected RN Staffing Hours per Resident per Day
0.97330
Expected Total Nurse Staffing Hours per Resident per Day
3.82057
Adjusted CNA Staffing Hours per Resident per Day
3.29153
Adjusted LPN Staffing Hours per Resident per Day
0.58159
Adjusted RN Staffing Hours per Resident per Day
1.02011
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01949
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-27
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
4030
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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