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PINE CREEK REHABILITATION AND NURSING

Overall Rating

Address

876 West 700 South

Salt Lake City, UT 84104

Contact

8013559649

Certification Date

1991-12-01

Details

CMS Certification Number

46A064

Ownership Type

Government - City/county

Number of Certified Beds

34

Average Number of Residents per Day

32.5

Provider Type

Medicaid

Legal Business Name

Legal Business Name Not Available

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

3

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.81090

Reported LPN Staffing Hours per Resident per Day

0.26832

Reported RN Staffing Hours per Resident per Day

0.59720

Reported Total Nurse Staffing Hours per Resident per Day

2.67642

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

2.30047

Registered Nurse Hours per Resident per Day on the Weekend

0.60838

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00147

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

44.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-03-02

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

0

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Rating Cycle 2

Standard Health Survey Date

2021-08-18

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 3

Standard Health Survey Date

2019-07-02

Total Number of Health Deficiencies

17

Number of Standard Health Deficiencies

17

Number of Complaint Health Deficiencies

0

Health Deficiency Score

100

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

100

Penalties

Number of Fines

10

Total Amount of Fines in Dollars

21300.50

Number of Payment Denials

0

Total Number of Penalties

10