Nursing Home

SANDSTONE SOUTH LAKE

Overall Rating

Cited for abuse

Address

2472 South 300 East

Salt Lake City, UT 84115

Contact

8014662211

Certification Date

1997-05-06

Details

CMS Certification Number

465146

Ownership Type

Government - Hospital district

Number of Certified Beds

140

Average Number of Residents per Day

84.4

Provider Type

Medicare and Medicaid

Legal Business Name

GUNNISON VALLEY HOSPITAL

Affiliated Entity Name

SANDSTONE HEALTHCARE GROUP

Affiliated Entity ID

463

Ratings

Health Inspection Rating

1

Quality Measure Rating

3

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.91131

Reported LPN Staffing Hours per Resident per Day

0.33601

Reported RN Staffing Hours per Resident per Day

1.08713

Reported Total Nurse Staffing Hours per Resident per Day

3.33444

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.80580

Registered Nurse Hours per Resident per Day on the Weekend

0.78766

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06511

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

201.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

4

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2022-03-21

Total Number of Health Deficiencies

28

Number of Standard Health Deficiencies

28

Number of Complaint Health Deficiencies

2

Health Deficiency Score

256

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

256

Rating Cycle 2

Standard Health Survey Date

2019-11-26

Total Number of Health Deficiencies

30

Number of Standard Health Deficiencies

30

Number of Complaint Health Deficiencies

0

Health Deficiency Score

172

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

172

Rating Cycle 3

Standard Health Survey Date

2018-11-29

Total Number of Health Deficiencies

16

Number of Standard Health Deficiencies

16

Number of Complaint Health Deficiencies

0

Health Deficiency Score

96

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

96

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

76937.25

Number of Payment Denials

0

Total Number of Penalties

2