Avalon Valley Rehabilitation
2472 South 300 East, Salt Lake City, UT 84115


Avalon Valley Rehabilitation is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 465146. The address is 2472 South 300 East, Salt Lake City, UT 84115. The zip code is 84115. The phone number is 8014662211.


Avalon Valley Rehabilitation · 2472 South 300 East, Salt Lake City, UT 84115

Federal Provider Number 465146
Provider Name AVALON VALLEY REHABILITATION
Address 2472 SOUTH 300 EAST
SALT LAKE CITY, UT 84115
Phone Number 8014662211
SSA County Code 170
County Name Salt Lake
Ownership Type For profit - Corporation
Certified Beds 140
Certified Beds Residents 98
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name AVALON VALLEY CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 05/06/1997
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 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.43112
Reported LPN Staffing Hours per Resident per Day 0.4898
Reported RN Staffing Hours per Resident per Day 1.28827
Reported Licensed Staffing Hours per Resident per Day 1.77806
Reported Total Nurse Staffing Hours per Resident per Day 4.20919
Reported Physical Therapist Staffing Hours per Resident Per Day 0.25357
Expected CNA Staffing Hours per Resident per Day 2.5413
Expected LPN Staffing Hours per Resident per Day 0.75805
Expected RN Staffing Hours per Resident per Day 1.29651
Expected Total Nurse Staffing Hours per Resident per Day 4.59586
Adjusted CNA Staffing Hours per Resident per Day 2.34732
Adjusted LPN Staffing Hours per Resident per Day 0.53629
Adjusted RN Staffing Hours per Resident per Day 0.74245
Adjusted Total Nurse Staffing Hours per Resident per Day 3.69176
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 05/11/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 03/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 01/28/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 40
Number of Substantiated Complaints 3
Number of Fines 1
Total Amount of Fines in Dollars $52755.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Avalon Valley Rehabilitation

Owner Name Role Association Date
AVALON HEALTH CARE MANAGEMENT, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2005
AVALON HEALTH CARE, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2005
CALDERON, CHRISTINA (Individual) DIRECTOR since 03/01/2012
CARPENTER, SCOTT (Individual) OFFICER since 05/28/2013
KIRTON, CHARLES (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 09/01/2005
KIRTON, CHARLES (Individual) DIRECTOR since 09/01/2005
LARCENAIRE, GARY (Individual) DIRECTOR since 02/01/2012
LEWIS E GARRETT LIVING TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
since 01/17/2015
MCFALL, BART (Individual) MANAGING EMPLOYEE since 10/26/2005
MORRIS, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/09/1994
MORRIS, JOHN (Individual) DIRECTOR since 09/28/2005
SEAQUIST, SPENCER (Individual) DIRECTOR since 08/01/2014
UNDER THE SHIRLEY GARRETT LIVING TR FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 01/17/2015
VALLEY MENTAL HEALTH INCORPORATED (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
51%
since 09/01/2005

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