Safe Haven Care Center Of Pocatello - Pocatello Nursing Home
General Information
UPDATEFederal Provider Number
135071
Provider Name
SAFE HAVEN CARE CENTER OF POCATELLO
Provider Address
1200 HOSPITAL WAY
POCATELLO, ID 83201
POCATELLO, ID 83201
Provider Phone Number
2082322570
Provider SSA County
20
Provider County Name
Bannock
Ownership Type
For profit - Limited Liability
Number of Certified Beds
84
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAFE HAVEN HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.49073
Expected LPN Staffing Hours per Resident per Day
0.65905
Expected RN Staffing Hours per Resident per Day
0.95073
Expected Total Nurse Staffing Hours per Resident per Day
4.10051
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
192
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
192
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2013-10-11
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
82
Cycle 2 Total Health Score
82
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
190.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
3120
Number of Payment Denials
2
Total Number of Penalties
5
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Idaho State Veterans Home - Pocatello
1957 Alvin Ricken Drive |
POCATELLO ID 83201 | 0.4 mile away
Gateway Transitional Care Center
527 Memorial Drive |
POCATELLO ID 83201 | 0.8 mile away
Monte Vista Hills Healthcare Center
1071 Renee Avenue |
POCATELLO ID 83201 | 2 miles away
Quinn Meadows Rehabilitation & Care Center
1033 West Quinn Road |
POCATELLO ID 83202 | 3.8 miles away
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