Idaho State Veterans Home - Boise - Boise Nursing Home
General Information
UPDATEFederal Provider Number
135131
Provider Name
IDAHO STATE VETERANS HOME - BOISE
Provider Address
320 COLLINS ROAD, 83702-4519
BOISE, ID 83707
BOISE, ID 83707
Provider Phone Number
2083345000
Provider SSA County
0
Provider County Name
Ada
Ownership Type
Government - State
Number of Certified Beds
131
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVISION OF VETERANS SERVICES
Date First Approved to Provide Medicare and Medicaid services
2007-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.82863
Reported LPN Staffing Hours per Resident per Day
0.73387
Reported RN Staffing Hours per Resident per Day
0.69032
Reported Licensed Staffing Hours per Resident per Day
1.42419
Reported Total Nurse Staffing Hours per Resident per Day
4.25282
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02298
Expected CNA Staffing Hours per Resident per Day
2.32550
Expected LPN Staffing Hours per Resident per Day
0.59832
Expected RN Staffing Hours per Resident per Day
0.89159
Expected Total Nurse Staffing Hours per Resident per Day
3.81541
Adjusted CNA Staffing Hours per Resident per Day
2.98457
Adjusted LPN Staffing Hours per Resident per Day
1.01803
Adjusted RN Staffing Hours per Resident per Day
0.57852
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49301
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-10
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.00000
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
Nursiong Homes Nearby
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Avamere Transitional Care & Rehab - Boise
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Saint Alphonsus Transitional Rehabilitation Unit
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BOISE ID 83703 | 3.6 miles away
Valley View Nursing & Rehabilitation
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BOISE ID 83704 | 3.8 miles away
Apex Center
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Life Care Center Of Treasure Valley
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Aspen Transitional Rehabilitation
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