Boundary County Nursing Home - Bonners Ferry Nursing Home
General Information
UPDATEFederal Provider Number
135004
Provider Name
BOUNDARY COUNTY NURSING HOME
Provider Address
6640 KANIKSU STREET
BONNERS FERRY, ID 83805
BONNERS FERRY, ID 83805
Provider Phone Number
(208) 267-3141
Provider SSA County
100
Provider County Name
Boundary
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
28
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
4.29545
Reported LPN Staffing Hours per Resident per Day
1.16818
Reported RN Staffing Hours per Resident per Day
1.07273
Reported Licensed Staffing Hours per Resident per Day
2.24091
Reported Total Nurse Staffing Hours per Resident per Day
6.53636
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01364
Expected CNA Staffing Hours per Resident per Day
2.11657
Expected LPN Staffing Hours per Resident per Day
0.57553
Expected RN Staffing Hours per Resident per Day
0.80816
Expected Total Nurse Staffing Hours per Resident per Day
3.50026
Adjusted CNA Staffing Hours per Resident per Day
4.97964
Adjusted LPN Staffing Hours per Resident per Day
1.68468
Adjusted RN Staffing Hours per Resident per Day
0.99181
Adjusted Total Nurse Staffing Hours per Resident per Day
7.52727
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
6
Cycle 1 Total Health Score
18
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
44
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.00000
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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