Bennett Hills Center - Gooding Nursing Home
General Information
UPDATEFederal Provider Number
135134
Provider Name
BENNETT HILLS CENTER
Provider Address
1220 MONTANA STREET
GOODING, ID 83330
GOODING, ID 83330
Provider Phone Number
2089345601
Provider SSA County
230
Provider County Name
Gooding
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEAK MEDICAL OF BOISE, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-07-11
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36250
Reported LPN Staffing Hours per Resident per Day
0.93571
Reported RN Staffing Hours per Resident per Day
0.57500
Reported Licensed Staffing Hours per Resident per Day
1.51071
Reported Total Nurse Staffing Hours per Resident per Day
3.87321
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03036
Expected CNA Staffing Hours per Resident per Day
2.40326
Expected LPN Staffing Hours per Resident per Day
0.65487
Expected RN Staffing Hours per Resident per Day
1.31907
Expected Total Nurse Staffing Hours per Resident per Day
4.37720
Adjusted CNA Staffing Hours per Resident per Day
2.41208
Adjusted LPN Staffing Hours per Resident per Day
1.18594
Adjusted RN Staffing Hours per Resident per Day
0.32571
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56678
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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