St Mark's Hospital Transitional Care
1200 East 3900 South, Salt Lake City, UT 84124


St Mark's Hospital Transitional Care is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 465140. The address is 1200 East 3900 South, Salt Lake City, UT 84124. The zip code is 84124. The phone number is 8012936821.


St Mark's Hospital Transitional Care · 1200 East 3900 South, Salt Lake City, UT 84124

Federal Provider Number 465140
Provider Name ST MARK'S HOSPITAL TRANSITIONAL CARE
Address 1200 EAST 3900 SOUTH
SALT LAKE CITY, UT 84124
Phone Number 8012936821
SSA County Code 170
County Name Salt Lake
Ownership Type For profit - Corporation
Certified Beds 14
Certified Beds Residents 14
Provider Type Medicare
Resides in Hospital true
Legal Business Name NORTHERN UTAH HEALTHCARE CORPORATION
Date First Approved to Provide Medicare Medicaid Services 10/11/1994
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 None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 1.33571
Reported RN Staffing Hours per Resident per Day 3.61786
Reported Licensed Staffing Hours per Resident per Day 3.61786
Reported Total Nurse Staffing Hours per Resident per Day 4.95357
Reported Physical Therapist Staffing Hours per Resident Per Day 0.91786
Expected CNA Staffing Hours per Resident per Day 1.6319
Expected LPN Staffing Hours per Resident per Day 0.65823
Expected RN Staffing Hours per Resident per Day 1.08292
Expected Total Nurse Staffing Hours per Resident per Day 3.37305
Adjusted CNA Staffing Hours per Resident per Day 2.00835
Adjusted RN Staffing Hours per Resident per Day 2.49628
Adjusted Total Nurse Staffing Hours per Resident per Day 5.91967
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 01/24/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Standard Health Survey Date 11/19/2015
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 10/08/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 15.333
Number of Fines 1
Total Amount of Fines in Dollars $2300.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · St Mark's Hospital Transitional Care

Owner Name Role Association Date
ANGLE, GREGORY (Individual) OFFICER since 01/01/2014
BALL, KEVIN (Individual) OFFICER since 04/07/2014
BANK OF AMERICA, N.A. (Organization) 5% OR GREATER SECURITY INTEREST since 11/17/2006
BATEMAN, STEVEN (Individual) DIRECTOR since 08/01/2011
BATEMAN, STEVEN (Individual) MANAGING EMPLOYEE since 04/30/2007
BRAY, MICHAEL (Individual) OFFICER since 01/01/2010
CLINE, NATALIE (Individual) OFFICER since 04/05/2013
CROCKER, VIRGINIA (Individual) OFFICER since 02/08/2017
CROTHERS, JOHN (Individual) OFFICER since 01/01/2010
DOWNEY, DOUGLAS (Individual) OFFICER since 04/07/2014
FRANCK, JOHN (Individual) DIRECTOR since 04/30/2007
FRISCO INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
53%
since 11/17/2006
FULLER COOPER, SHIRLEY (Individual) OFFICER since 02/08/2017
GERKEN, GREGG (Individual) OFFICER since 01/01/2010
GREEN, JOSEPH (Individual) OFFICER since 01/01/2010
GRUBBS, RONALD (Individual) OFFICER since 01/01/2010
HACKETT, JOHN (Individual) OFFICER since 04/18/2016
HALL, CHARLES (Individual) OFFICER since 08/01/2011
HAZEN, SAMUEL (Individual) DIRECTOR since 01/01/2010
HCA HEALTHCARE, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2011
HCA SQUARED, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/18/2012
HCA, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/30/2007
HEALTHTRUST INC. - THE HOSPITAL COMPANY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/30/2007
HERCULES HOLDING II (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
since 09/30/2016
HERRON, MICHAEL (Individual) MANAGING EMPLOYEE since 05/24/2016
HOSPITAL CORP LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/30/2007
KILLINGBECK, SETH (Individual) OFFICER since 08/10/2012
LARSEN, LARS (Individual) OFFICER since 02/08/2017
MARKS, MIKE (Individual) OFFICER since 08/01/2011
MCKINLEY, BRYAN (Individual) DIRECTOR since 04/30/2007
MCKINLEY, BRYAN (Individual) MANAGING EMPLOYEE since 04/30/2007
MOORE, ARNOLD (Individual) OFFICER since 04/30/2007
MORROW, J WILLIAM (Individual) OFFICER since 04/05/2013
MULLIN, DEBORAH (Individual) OFFICER since 01/01/2010
NOONAN, TIMOTHY (Individual) OFFICER since 04/05/2013
PAUL, NICHOLAS (Individual) OFFICER since 04/12/2013
REID, BONNIE (Individual) OFFICER since 04/30/2007
SCHARF, SHIRLEY (Individual) OFFICER since 01/01/2010
SOWELL, JOSEPH (Individual) OFFICER since 08/01/2011
TIBBITTS, MITCHELL (Individual) OFFICER since 01/01/2010
WATERMAN, ROBERT (Individual) OFFICER since 01/01/2010
WILLIAMS, JAMES (Individual) OFFICER since 04/18/2016
WYATT, CHRISTOPHER (Individual) OFFICER since 04/18/2016

street_number: 1200
route: East 3900 South (E 3900 S)
locality, political: Millcreek
admin_level_2, political: Salt Lake County
admin_level_1, political: Utah (UT)
country, political: United States (US)
postal_code: 84124
postal_code_suffix: 1300
types : street_address
latitude: 40.6861119
longitude: -111.856901
latlng: (40.6861119, -111.856901)


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