Overall Rating
Address
5648 South Adams Avenue
Washington Terrace, UT 84405
Contact
8014750500
Certification Date
2015-01-21
CMS Certification Number
465182
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Average Number of Residents per Day
44.5
Provider Type
Medicare and Medicaid
Legal Business Name
KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Affiliated Entity Name
STONEHENGE OF UTAH
Affiliated Entity ID
613
Health Inspection Rating
4
Quality Measure Rating
4
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.48671
Reported LPN Staffing Hours per Resident per Day
0.77398
Reported RN Staffing Hours per Resident per Day
1.14723
Reported Total Nurse Staffing Hours per Resident per Day
4.40792
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.85984
Registered Nurse Hours per Resident per Day on the Weekend
0.91257
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11058
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
17.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-01-11
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2021-09-02
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-07-31
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
8
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
8
Number of Fines
1
Total Amount of Fines in Dollars
9750.00
Number of Payment Denials
0
Total Number of Penalties
1