Broomfield Skilled Nursing and Rehabilitation Ctr
12975 Sheridan Boulevard, Broomfield, CO 80020


Broomfield Skilled Nursing and Rehabilitation Ctr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 065379. The address is 12975 Sheridan Boulevard, Broomfield, CO 80020. The zip code is 80020. The phone number is 3037855800.


Broomfield Skilled Nursing and Rehabilitation Ctr · 12975 Sheridan Boulevard, Broomfield, CO 80020

Federal Provider Number 065379
Provider Name BROOMFIELD SKILLED NURSING AND REHABILITATION CTR
Address 12975 SHERIDAN BOULEVARD
BROOMFIELD, CO 80020
Phone Number 3037855800
SSA County Code 630
County Name Broomfield
Ownership Type For profit - Corporation
Certified Beds 210
Certified Beds Residents 151
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 03/06/2002
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.77318
Reported LPN Staffing Hours per Resident per Day 0.56722
Reported RN Staffing Hours per Resident per Day 0.73808
Reported Licensed Staffing Hours per Resident per Day 1.3053
Reported Total Nurse Staffing Hours per Resident per Day 3.07848
Reported Physical Therapist Staffing Hours per Resident Per Day 0.0404
Expected CNA Staffing Hours per Resident per Day 2.36156
Expected LPN Staffing Hours per Resident per Day 0.60856
Expected RN Staffing Hours per Resident per Day 0.96103
Expected Total Nurse Staffing Hours per Resident per Day 3.93115
Adjusted CNA Staffing Hours per Resident per Day 1.84236
Adjusted LPN Staffing Hours per Resident per Day 0.77362
Adjusted RN Staffing Hours per Resident per Day 0.57386
Adjusted Total Nurse Staffing Hours per Resident per Day 3.15659
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 08/08/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 19
Cycle 2 Number of Standard Health Deficiencies 16
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 120
Cycle 2 Standard Health Survey Date 06/02/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 120
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 100
Cycle 3 Standard Health Survey Date 05/02/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 100
Total Weighted Health Survey Score 80.667
Number of Substantiated Complaints 9
Number of Fines 1
Total Amount of Fines in Dollars $10500.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Broomfield Skilled Nursing and Rehabilitation Ctr

Owner Name Role Association Date
() Ownership Data Not Available

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