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Detailed information-PINE RIDGE EXTENDED CARE CENTER

This is the detailed information about PINE RIDGE EXTENDED CARE CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 065366
Provider State: CO
Provider Zip Code: 81147
Overall Rating: 5
Number of Substantiated Complaints: 0
Provider Phone Number: 9707314330
Provider City: PAGOSA SPRINGS
Provider SSA County Code: 030
Provider County Name: Archuleta
Provider Address: 119 BASTILLE DRIVE
Number of Certified Beds: 60
Number of Residents in Certified Beds: 48.5
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1998-01-16
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 5
Health Inspection Rating Footnote:
QM Rating: 4
QM Rating Footnote:
Staffing Rating: 3
Staffing Rating Footnote:
RN Staffing Rating: 3
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.17504
Reported LPN Staffing Hours per Resident per Day: 0.56163
Reported RN Staffing Hours per Resident per Day: 0.40943
Reported Licensed Staffing Hours per Resident per Day: 0.97106
Reported Total Nurse Staffing Hours per Resident per Day: 3.14610
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.06093
Expected CNA Staffing Hours per Resident per Day: 1.82809
Expected LPN Staffing Hours per Resident per Day: 0.67856
Expected RN Staffing Hours per Resident per Day: 0.31630
Expected Total Nurse Staffing Hours per Resident per Day: 2.82295

Adjusted CNA Staffing Hours per Resident per Day: 2.48576
Adjusted LPN Staffing Hours per Resident per Day: 0.62809
Adjusted RN Staffing Hours per Resident per Day: 0.49242
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.59809
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 10/20/2016
Number of Health Deficiencies on Previous Standard Health Inspection: 3
Rating Cycle 1 Standard Survey Health Date: 2016-10-20
Rating Cycle 1 Total Number of Health Deficiencies: 3
Rating Cycle 1 Number of Standard Health Deficiencies: 3
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 12
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 12

Rating Cycle 2 Standard Health Survey Date: 2015-11-19
Rating Cycle 2 Total Number of Health Deficiencies: 2
Rating Cycle 2 Number of Standard Health Deficiencies: 2
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 20
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 20
Total Weighted Health Survey Score: 15.200
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01