Woodland Park Rehabilitation And Care Center - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465094
Provider Name
WOODLAND PARK REHABILITATION AND CARE CENTER
Provider Address
3855 SOUTH 700 EAST
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
Provider Phone Number
(801) 268-4766
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
184
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-07-16
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.70600
Reported LPN Staffing Hours per Resident per Day
0.52040
Reported RN Staffing Hours per Resident per Day
1.99480
Reported Licensed Staffing Hours per Resident per Day
2.51520
Reported Total Nurse Staffing Hours per Resident per Day
5.22120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10160
Expected CNA Staffing Hours per Resident per Day
2.65044
Expected LPN Staffing Hours per Resident per Day
0.88687
Expected RN Staffing Hours per Resident per Day
1.64392
Expected Total Nurse Staffing Hours per Resident per Day
5.18123
Adjusted CNA Staffing Hours per Resident per Day
2.50514
Adjusted LPN Staffing Hours per Resident per Day
0.48703
Adjusted RN Staffing Hours per Resident per Day
0.90668
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06200
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-23
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
1
Cycle 2 Health Deficiency Score
301
Cycle 2 Standard Health Survey Date
2013-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
301
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
147.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
3
Total Amount of Fines in Dollars
43388
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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