Boulder City Hospital Snf - Boulder City Nursing Home
General Information
UPDATEFederal Provider Number
295046
Provider Name
BOULDER CITY HOSPITAL SNF
Provider Address
901 ADAMS BLVD.
BOULDER CITY, NV 89005
BOULDER CITY, NV 89005
Provider Phone Number
(702) 293-4111
Provider SSA County
10
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
47
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BOULDER CITY HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1989-04-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25676
Reported LPN Staffing Hours per Resident per Day
0.64054
Reported RN Staffing Hours per Resident per Day
0.59054
Reported Licensed Staffing Hours per Resident per Day
1.23108
Reported Total Nurse Staffing Hours per Resident per Day
3.48784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01351
Expected CNA Staffing Hours per Resident per Day
2.28498
Expected LPN Staffing Hours per Resident per Day
0.64906
Expected RN Staffing Hours per Resident per Day
0.93118
Expected Total Nurse Staffing Hours per Resident per Day
3.86522
Adjusted CNA Staffing Hours per Resident per Day
2.42339
Adjusted LPN Staffing Hours per Resident per Day
0.81910
Adjusted RN Staffing Hours per Resident per Day
0.47387
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63734
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
40.00000
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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