Life Care Center Of Lewiston - Lewiston Nursing Home

General Information

UPDATE
Federal Provider Number
135128
Provider Name
LIFE CARE CENTER OF LEWISTON
Provider Address
325 WARNER DRIVE
LEWISTON, ID 83501
Provider Phone Number
2087988500
Provider SSA County
340
Provider County Name
Nez Perce
Ownership Type
For profit - Limited Liability
Number of Certified Beds
121
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLEARWATER MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1997-10-15
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
5
QM Rating Footnote
Staffing Rating
4
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
2.41287
Reported LPN Staffing Hours per Resident per Day
0.49752
Reported RN Staffing Hours per Resident per Day
1.15941
Reported Licensed Staffing Hours per Resident per Day
1.65693
Reported Total Nurse Staffing Hours per Resident per Day
4.06980
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09554
Expected CNA Staffing Hours per Resident per Day
2.53291
Expected LPN Staffing Hours per Resident per Day
0.63810
Expected RN Staffing Hours per Resident per Day
0.96895
Expected Total Nurse Staffing Hours per Resident per Day
4.13996
Adjusted CNA Staffing Hours per Resident per Day
2.33741
Adjusted LPN Staffing Hours per Resident per Day
0.64714
Adjusted RN Staffing Hours per Resident per Day
0.89408
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96259
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-10-25
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
47.33300
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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