Woodridge Terrace Nursing And Rehabilitation - Commerce City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65283
Provider Name
WOODRIDGE TERRACE NURSING AND REHABILITATION
Provider Address
5230 EAST 66TH WAY
COMMERCE CITY, CO 80022
COMMERCE CITY, CO 80022
Provider Phone Number
(303) 289-1848
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
105
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XVI, L.P.
Date First Approved to Provide Medicare and Medicaid services
1990-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49477
Reported LPN Staffing Hours per Resident per Day
0.66570
Reported RN Staffing Hours per Resident per Day
0.83953
Reported Licensed Staffing Hours per Resident per Day
1.50523
Reported Total Nurse Staffing Hours per Resident per Day
4.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04419
Expected CNA Staffing Hours per Resident per Day
2.63761
Expected LPN Staffing Hours per Resident per Day
0.71073
Expected RN Staffing Hours per Resident per Day
0.96243
Expected Total Nurse Staffing Hours per Resident per Day
4.31077
Adjusted CNA Staffing Hours per Resident per Day
2.32082
Adjusted LPN Staffing Hours per Resident per Day
0.77741
Adjusted RN Staffing Hours per Resident per Day
0.65179
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74031
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-05-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
251
Cycle 3 Standard Health Survey Date
2013-06-26
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
126
Cycle 3 Total Health Score
377
Total Weighted Health Survey Score
143.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
5655
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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