Owyhee Health & Rehabilitation Center - Homedale Nursing Home
General Information
UPDATEFederal Provider Number
135087
Provider Name
OWYHEE HEALTH & REHABILITATION CENTER
Provider Address
108 WEST OWYHEE
HOMEDALE, ID 83628
HOMEDALE, ID 83628
Provider Phone Number
2083373168
Provider SSA County
360
Provider County Name
Owyhee
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMEDALE HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1981-07-15
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
2.86129
Reported LPN Staffing Hours per Resident per Day
0.51129
Reported RN Staffing Hours per Resident per Day
0.87581
Reported Licensed Staffing Hours per Resident per Day
1.38710
Reported Total Nurse Staffing Hours per Resident per Day
4.24839
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18710
Expected CNA Staffing Hours per Resident per Day
2.64338
Expected LPN Staffing Hours per Resident per Day
0.57788
Expected RN Staffing Hours per Resident per Day
0.79277
Expected Total Nurse Staffing Hours per Resident per Day
4.01402
Adjusted CNA Staffing Hours per Resident per Day
2.65598
Adjusted LPN Staffing Hours per Resident per Day
0.73436
Adjusted RN Staffing Hours per Resident per Day
0.82547
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26626
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
20
Cycle 2 Standard Health Survey Date
2013-02-01
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
3770
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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