Mccall Rehabilitation & Care Center - Mc Call Nursing Home
General Information
UPDATEFederal Provider Number
135082
Provider Name
MCCALL REHABILITATION & CARE CENTER
Provider Address
418 FLOYDE STREET
MC CALL, ID 83638
MC CALL, ID 83638
Provider Phone Number
2086342112
Provider SSA County
420
Provider County Name
Valley
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TANABELL HEALTH SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.43750
Reported LPN Staffing Hours per Resident per Day
0.68750
Reported RN Staffing Hours per Resident per Day
1.02917
Reported Licensed Staffing Hours per Resident per Day
1.71667
Reported Total Nurse Staffing Hours per Resident per Day
4.15417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09792
Expected CNA Staffing Hours per Resident per Day
2.35026
Expected LPN Staffing Hours per Resident per Day
0.59430
Expected RN Staffing Hours per Resident per Day
0.86851
Expected Total Nurse Staffing Hours per Resident per Day
3.81307
Adjusted CNA Staffing Hours per Resident per Day
2.54477
Adjusted LPN Staffing Hours per Resident per Day
0.96017
Adjusted RN Staffing Hours per Resident per Day
0.88542
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39148
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
243
Cycle 2 Standard Health Survey Date
2013-08-30
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
128.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
4750
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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