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Detailed information-COLORADO STATE VETERANS HOME AT FITZSIMONS

This is the detailed information about COLORADO STATE VETERANS HOME AT FITZSIMONS, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 065380
Provider Name: COLORADO STATE VETERANS HOME AT FITZSIMONS
Provider State: CO
Provider Zip Code: 80045
Overall Rating: 4
Ownership Type: Government - State
Number of Substantiated Complaints: 4
Provider Phone Number: 7208576400
Provider City: AURORA
Provider SSA County Code: 000
Provider County Name: Adams
Provider Address: 1919 QUENTIN STREET
Number of Certified Beds: 180
Number of Residents in Certified Beds: 167.9
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: STATE OF COLORADO
Date First Approved to Provide Medicare and Medicaid services: 2003-03-01
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: Both
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 3
Health Inspection Rating Footnote:
QM Rating: 2
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: 2.61197
Reported LPN Staffing Hours per Resident per Day: 0.90375
Reported RN Staffing Hours per Resident per Day: 0.94069
Reported Licensed Staffing Hours per Resident per Day: 1.84444
Reported Total Nurse Staffing Hours per Resident per Day: 4.45640
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.06066
Expected CNA Staffing Hours per Resident per Day: 1.83170
Expected LPN Staffing Hours per Resident per Day: 0.65049
Expected RN Staffing Hours per Resident per Day: 0.28391
Expected Total Nurse Staffing Hours per Resident per Day: 2.76610

Adjusted CNA Staffing Hours per Resident per Day: 2.97922
Adjusted LPN Staffing Hours per Resident per Day: 1.05430
Adjusted RN Staffing Hours per Resident per Day: 1.26043
Adjusted Total Nurse Staffing Hours per Resident per Day: 5.20139
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: 05/25/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 13
Rating Cycle 1 Standard Survey Health Date: 2017-05-25
Rating Cycle 1 Total Number of Health Deficiencies: 13
Rating Cycle 1 Number of Standard Health Deficiencies: 13
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 76
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 76

Rating Cycle 2 Standard Health Survey Date: 2016-05-11
Rating Cycle 2 Total Number of Health Deficiencies: 4
Rating Cycle 2 Number of Standard Health Deficiencies: 4
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 16
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 16
Total Weighted Health Survey Score: 52.000
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