Rocky Mountain Care - Willow Springs · Beaver Valley Hospital

8013974697 · 85 East 2000 North, Tooele, UT 84074

Overview

Rocky Mountain Care - Willow Springs is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #465089. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 85 East 2000 North, Tooele, UT 84074. The overall rating is 4.

Federal Provider Number 465089
Provider Name ROCKY MOUNTAIN CARE - WILLOW SPRINGS
Legal Business Name BEAVER VALLEY HOSPITAL
Address 85 East 2000 North
Tooele
UT 84074
County Tooele
Telephone 8013974697
Ownership Type Non profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1982-01-01
Number of Certified Beds 112
Average Number of Residents per Day 94.1
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 5
Staffing Rating 4
Registered Nurses Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.04644
Reported LPN Staffing Hours per Resident per Day 0.67516
Reported RN Staffing Hours per Resident per Day 0.78945
Reported Licensed Staffing Hours per Resident per Day 1.46460
Reported Total Nurse Staffing Hours per Resident per Day 3.51105
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07873
Expected CNA Staffing Hours per Resident per Day 1.99686
Expected LPN Staffing Hours per Resident per Day 0.71351
Expected RN Staffing Hours per Resident per Day 0.32941
Expected Total Nurse Staffing Hours per Resident per Day 3.03977
Adjusted CNA Staffing Hours per Resident per Day 2.10992
Adjusted LPN Staffing Hours per Resident per Day 0.70109
Adjusted RN Staffing Hours per Resident per Day 0.95910
Adjusted Total Nurse Staffing Hours per Resident per Day 3.69601
Rating Cycle 1 Standard Survey Health Date 2019-08-15
Rating Cycle 1 Total Number of Health Deficiencies 20
Rating Cycle 1 Number of Standard Health Deficiencies 20
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 92
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 92
Rating Cycle 2 Standard Health Survey Date 2018-08-16
Rating Cycle 2 Total Number of Health Deficiencies 5
Rating Cycle 2 Number of Standard Health Deficiencies 5
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 44
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 44
Rating Cycle 3 Standard Health Survey Date 2017-05-24
Rating Cycle 3 Total Number of Health Deficiencies 11
Rating Cycle 3 Number of Standard Health Deficiencies 9
Rating Cycle 3 Number of Complavarchar Health Deficiencies 2
Rating Cycle 3 Health Deficiency Score 56
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 70.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
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
ROCKY MOUNTAIN CARE - WILLOW SPRINGS

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTBEAVER VALLEY HOSPITALOrganization100%since 04/11/2013
5% OR GREATER INDIRECT OWNERSHIP INTERESTBEAVER CITY CORPORATIONOrganization100%since 04/11/2013
OFFICERLANGFORD, SCOTTIndividualsince 03/01/2018
OFFICERMOSS, TYLERIndividualsince 03/01/2018
OPERATIONAL/MANAGERIAL CONTROLBALSER, BRANDONIndividualsince 01/22/2020
OPERATIONAL/MANAGERIAL CONTROLBANGERTER, DEEIndividualsince 04/12/2013
OPERATIONAL/MANAGERIAL CONTROLBANGERTER, EDWARDIndividualsince 04/12/2013
OPERATIONAL/MANAGERIAL CONTROLBANGERTER, JOHNATHONIndividualsince 04/14/2013
OPERATIONAL/MANAGERIAL CONTROLROCKY MOUNTAIN CARE - TOOELE, INCOrganizationsince 04/12/2013
OPERATIONAL/MANAGERIAL CONTROLROCKY MOUNTAIN CARE LLCOrganizationsince 04/12/2013
OPERATIONAL/MANAGERIAL CONTROLSNOWBALL, KELLYIndividualsince 04/15/2019

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Location Information

Street Address 85 EAST 2000 NORTH
City TOOELE
State UT
Zip Code 84074

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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.