Grangeville Health & Rehabilitation Center - Grangeville Nursing Home
General Information
UPDATEFederal Provider Number
135080
Provider Name
GRANGEVILLE HEALTH & REHABILITATION CENTER
Provider Address
410 EAST NORTH SECOND STREET
GRANGEVILLE, ID 83530
GRANGEVILLE, ID 83530
Provider Phone Number
2089831131
Provider SSA County
240
Provider County Name
Idaho
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADVANCED HEALTH CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.67444
Reported LPN Staffing Hours per Resident per Day
0.27000
Reported RN Staffing Hours per Resident per Day
1.18778
Reported Licensed Staffing Hours per Resident per Day
1.45778
Reported Total Nurse Staffing Hours per Resident per Day
5.13222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15111
Expected CNA Staffing Hours per Resident per Day
2.44025
Expected LPN Staffing Hours per Resident per Day
0.61818
Expected RN Staffing Hours per Resident per Day
0.92843
Expected Total Nurse Staffing Hours per Resident per Day
3.98687
Adjusted CNA Staffing Hours per Resident per Day
3.69469
Adjusted LPN Staffing Hours per Resident per Day
0.36251
Adjusted RN Staffing Hours per Resident per Day
0.95592
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18890
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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