Provider Name: PINE VIEW TRANSITIONAL REHAB
Address: 1497 EAST SKYLINE DRIVE, OGDEN, UT 84405
Phone: (801) 689-1600
County: Weber (280)
Ownership Type: For profit - Limited Liability company
Certified Beds: 30
Average Residents Per Day: 26.2 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: AHC OGDEN LLC
First Approved Date: March 8, 2004
Affiliated Entity: ADVANCED HEALTH CARE (11)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.61252, LPN Staff Hours Per Day: 0.5138, RN Staff Hours Per Day: 2.2553, Licensed Staff Hours Per Day: 2.7692
Total Nurse Staff Hours Per Day, per resident: 6.38175
Weekend Nurse Staff Hours: 5.04260, Weekend RN Staff Hours: 1.2330
PT Staff Hours Per Day, per resident: 0.2817
Nurse Staff Turnover: 51.6, Nurse Turnover Note:
RN Turnover: 25.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1679, Case Mix LPN Hours Per Day: 0.8485, Case Mix RN Hours Per Day: 0.4891
Adjusted Nurse Aide Hours Per Day, per resident: 3.39472, Adjusted LPN Hours Per Day: 0.4468, Adjusted RN Hours Per Day: 1.7374
Total Adjusted Nurse Hours Per Day, per resident: 5.73801
Adjusted Weekend Nurse Hours Per Day, per resident: 4.53394
Health Survey Dates and Scores: Cycle 1: 2023-08-16 (Score: 0), Cycle 2: 2021-12-16 (Score: 4), Cycle 3: 2019-10-23 (Score: 24)
Total Weighted Health Score: 5.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 1625.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1497 EAST SKYLINE DRIVE,OGDEN,UT,84405 (41.1515, -111.941)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-03
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-21
Type: Health, Deficiency: Perform COVID19 testing on residents and staff.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-21
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-22
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-07
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-07
Type: Fire Safety, Tag: 0521, Version: New
Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-07
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-07
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-28
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-28