Woodland Park Rehabilitation and Care Center
3855 South 700 East, Salt Lake City, UT 84106


Woodland Park Rehabilitation and Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 465094. The address is 3855 South 700 East, Salt Lake City, UT 84106. The zip code is 84106. The phone number is 8012684766.


Woodland Park Rehabilitation and Care Center · 3855 South 700 East, Salt Lake City, UT 84106

Federal Provider Number 465094
Provider Name WOODLAND PARK REHABILITATION AND CARE CENTER
Address 3855 SOUTH 700 EAST
SALT LAKE CITY, UT 84106
Phone Number 8012684766
SSA County Code 170
County Name Salt Lake
Ownership Type For profit - Corporation
Certified Beds 184
Certified Beds Residents 83
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WOODLAND CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 07/16/1984
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 1
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.7741
Reported LPN Staffing Hours per Resident per Day 0.59157
Reported RN Staffing Hours per Resident per Day 1.4506
Reported Licensed Staffing Hours per Resident per Day 2.04217
Reported Total Nurse Staffing Hours per Resident per Day 4.81627
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18855
Expected CNA Staffing Hours per Resident per Day 2.58831
Expected LPN Staffing Hours per Resident per Day 0.89875
Expected RN Staffing Hours per Resident per Day 1.43487
Expected Total Nurse Staffing Hours per Resident per Day 4.92192
Adjusted CNA Staffing Hours per Resident per Day 2.62983
Adjusted LPN Staffing Hours per Resident per Day 0.54632
Adjusted RN Staffing Hours per Resident per Day 0.75539
Adjusted Total Nurse Staffing Hours per Resident per Day 3.94437
Cycle 1 Total Number of Health Deficiencies 25
Cycle 1 Number of Standard Health Deficiencies 22
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 176
Cycle 1 Standard Survey Health Date 03/16/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 176
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 15
Cycle 2 Health Deficiency Score 84
Cycle 2 Standard Health Survey Date 12/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 84
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Number of Complaint Health Deficiencies 9
Cycle 3 Health Deficiency Score 60
Cycle 3 Standard Health Survey Date 10/23/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 60
Total Weighted Health Survey Score 126
Number of Substantiated Complaints 12
Number of Fines 1
Total Amount of Fines in Dollars $2600.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Woodland Park Rehabilitation and Care Center

Owner Name Role Association Date
AVALON CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/26/2003
AVALON HEALTH CARE MANAGEMENT, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/28/1988
AVALON HEALTH CARE, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/01/2004
AVALON HEALTH CARE, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2004
AVALON HOLDING, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/13/1988
AVALON OF UTAH, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/21/2006
BURTON, HAROLD (Individual) DIRECTOR since 08/26/2014
CARPENTER, SCOTT (Individual) OFFICER since 05/28/2013
DANGERFIELD, DAVID (Individual) DIRECTOR since 04/05/2007
DEANS, LAWRENCE (Individual) DIRECTOR since 10/15/2013
DEANS, LAWRENCE (Individual) OFFICER since 10/15/2013
FRANKLIN, CHRISTIE (Individual) OFFICER since 08/28/2012
GONZALES, CHARLES (Individual) DIRECTOR since 08/11/2009
HESS, RITA (Individual) OFFICER since 07/01/2013
KAPP, RONALD (Individual) MANAGING EMPLOYEE since 03/10/2015
KIRTON, CHARLES (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/13/1988
KIRTON, CHARLES (Individual) DIRECTOR since 10/31/1988
KIRTON, CHARLES (Individual) OFFICER since 10/23/2012
KNAPTON, KENNETH (Individual) OFFICER since 08/01/2013
LEWIS E. GARRETT 2011 IRRV TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/07/2015
LINCOLN, FAYE (Individual) OFFICER since 09/01/2003
MASON, JAMES (Individual) DIRECTOR since 08/05/2004
NEEDLES, TIMOTHY (Individual) MANAGING EMPLOYEE since 05/16/2016
STUART, ANNE (Individual) DIRECTOR since 11/18/2014
STUART, ANNE (Individual) OFFICER since 03/01/2014
SWINTON, BRIAN (Individual) DIRECTOR since 06/07/2004
TIPPETS, CARL (Individual) DIRECTOR since 09/22/2006
WOLTIL, ROBERT (Individual) DIRECTOR since 05/23/2012

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