Pioneer Health Care Center · 12th Street Operations, LLC

7192543314 · 900 S 12th St, Rocky Ford, CO 81067

Overview

Pioneer Health Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #065235. The provider type is Medicare and Medicaid. The ownership type is for profit - partnership. The address is 900 S 12th St, Rocky Ford, CO 81067. The overall rating is 1.

Federal Provider Number 065235
Provider Name PIONEER HEALTH CARE CENTER
Legal Business Name 12TH STREET OPERATIONS, LLC
Address 900 S 12th St
Rocky Ford
CO 81067
County Otero
Telephone 7192543314
Ownership Type For profit - Partnership
Provider Type Medicare and Medicaid
Date Approved 1987-02-01
Number of Certified Beds 101
Average Number of Residents per Day 76.2
Provider Resides in Hospital N
Continuing Care Retirement Community N
Special Focus Facility SFF Candidate
Abuse Icon Y
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Long Stay Quality Measure Rating 3
Short Stay Quality Measure Rating 1
Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Registered Nurses Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Reported CNA Staffing Hours per Resident per Day 1.61235
Reported LPN Staffing Hours per Resident per Day 0.28729
Reported RN Staffing Hours per Resident per Day 0.18650
Reported Licensed Staffing Hours per Resident per Day 0.47378
Reported Total Nurse Staffing Hours per Resident per Day 2.08613
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07433
Expected CNA Staffing Hours per Resident per Day 1.80559
Expected LPN Staffing Hours per Resident per Day 0.64914
Expected RN Staffing Hours per Resident per Day 0.31261
Expected Total Nurse Staffing Hours per Resident per Day 2.76734
Adjusted CNA Staffing Hours per Resident per Day 1.83846
Adjusted LPN Staffing Hours per Resident per Day 0.32790
Adjusted RN Staffing Hours per Resident per Day 0.23875
Adjusted Total Nurse Staffing Hours per Resident per Day 2.41221
Rating Cycle 1 Standard Survey Health Date 2019-10-30
Rating Cycle 1 Total Number of Health Deficiencies 32
Rating Cycle 1 Number of Standard Health Deficiencies 15
Rating Cycle 1 Number of Complavarchar Health Deficiencies 18
Rating Cycle 1 Health Deficiency Score 535
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 535
Rating Cycle 2 Standard Health Survey Date 2018-11-01
Rating Cycle 2 Total Number of Health Deficiencies 20
Rating Cycle 2 Number of Standard Health Deficiencies 17
Rating Cycle 2 Number of Complavarchar Health Deficiencies 3
Rating Cycle 2 Health Deficiency Score 120
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 120
Rating Cycle 3 Standard Health Survey Date 2017-04-27
Rating Cycle 3 Total Number of Health Deficiencies 13
Rating Cycle 3 Number of Standard Health Deficiencies 10
Rating Cycle 3 Number of Complavarchar Health Deficiencies 3
Rating Cycle 3 Health Deficiency Score 84
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 321.500
Number of Facility Reported Incidents 1
Number of Substantiated Complavarchars 10
Number of Citations from Infection Control Inspections 20
Number of Fines 3
Total Amount of Fines in Dollars 99180.00
Number of Payment Denials 1
Total Number of Penalties 4
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
PIONEER HEALTH CARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTEREST12TH STREET OPERATIONS, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/01/2016
5% OR GREATER DIRECT OWNERSHIP INTERESTMADISON CREEK PARTNERS LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/01/2016
5% OR GREATER INDIRECT OWNERSHIP INTERESTBRUCE, LELANDIndividual30%since 07/01/2016
5% OR GREATER INDIRECT OWNERSHIP INTERESTCHRISTENSEN, COVEYIndividual70%since 07/01/2016
DIRECTORSILVER, RACHELIndividualsince 07/01/2016
MANAGING EMPLOYEEBRUCE, LELANDIndividualsince 07/01/2016
MANAGING EMPLOYEECHRISTENSEN, COVEYIndividualsince 07/01/2016
MANAGING EMPLOYEESILVER, RACHELIndividualsince 07/01/2016
OFFICERBRUCE, LELANDIndividualsince 07/01/2016
OFFICERCHRISTENSEN, COVEYIndividualsince 07/01/2016
OPERATIONAL/MANAGERIAL CONTROLBRUCE, LELANDIndividualsince 07/01/2016
OPERATIONAL/MANAGERIAL CONTROLCHRISTENSEN, COVEYIndividualsince 07/01/2016

Location Information

Street Address 900 S 12TH ST
City ROCKY FORD
State CO
Zip Code 81067

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.