Idaho State Veterans Home - Lewiston - Lewiston Nursing Home
General Information
UPDATEFederal Provider Number
135133
Provider Name
IDAHO STATE VETERANS HOME - LEWISTON
Provider Address
821 21ST AVENUE
LEWISTON, ID 83501
LEWISTON, ID 83501
Provider Phone Number
2087993422
Provider SSA County
340
Provider County Name
Nez Perce
Ownership Type
Government - State
Number of Certified Beds
66
Number of Residents in Certified Beds
58
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
2007-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.45086
Reported LPN Staffing Hours per Resident per Day
0.70948
Reported RN Staffing Hours per Resident per Day
0.90517
Reported Licensed Staffing Hours per Resident per Day
1.61466
Reported Total Nurse Staffing Hours per Resident per Day
4.06551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11983
Expected CNA Staffing Hours per Resident per Day
2.20816
Expected LPN Staffing Hours per Resident per Day
0.63552
Expected RN Staffing Hours per Resident per Day
0.83809
Expected Total Nurse Staffing Hours per Resident per Day
3.68176
Adjusted CNA Staffing Hours per Resident per Day
2.72339
Adjusted LPN Staffing Hours per Resident per Day
0.92660
Adjusted RN Staffing Hours per Resident per Day
0.80701
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45104
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
238
Cycle 2 Standard Health Survey Date
2013-02-20
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
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
129.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
4355
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Life Care Center Of Lewiston
325 Warner Drive |
LEWISTON ID 83501 | 1.1 miles away
Royal Plaza Health & Rehabilitation
2870 Juniper Drive |
LEWISTON ID 83501 | 1.3 miles away
Kindred Transitional Care & Rehab - Lewiston
3315 8th Street |
LEWISTON ID 83501 | 1.8 miles away
Prestige Care & Rehabilitation - The Orchards
1014 Burrell Avenue |
LEWISTON ID 83501 | 2.5 miles away
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