Coeur D'alene Health Care & Rehabilitation Center - Coeur D'alene Nursing Home
General Information
UPDATEFederal Provider Number
135052
Provider Name
COEUR D'ALENE HEALTH CARE & REHABILITATION CENTER
Provider Address
2514 NORTH SEVENTH STREET
COEUR D'ALENE, ID 83814
COEUR D'ALENE, ID 83814
Provider Phone Number
(208) 664-8128
Provider SSA County
270
Provider County Name
Kootenai
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
117
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINEWOOD HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.93478
Reported LPN Staffing Hours per Resident per Day
0.24783
Reported RN Staffing Hours per Resident per Day
1.21087
Reported Licensed Staffing Hours per Resident per Day
1.45870
Reported Total Nurse Staffing Hours per Resident per Day
4.39348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24783
Expected CNA Staffing Hours per Resident per Day
2.36289
Expected LPN Staffing Hours per Resident per Day
0.68906
Expected RN Staffing Hours per Resident per Day
1.00792
Expected Total Nurse Staffing Hours per Resident per Day
4.05988
Adjusted CNA Staffing Hours per Resident per Day
3.04756
Adjusted LPN Staffing Hours per Resident per Day
0.29852
Adjusted RN Staffing Hours per Resident per Day
0.89765
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36212
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-06-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
102
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
171
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
86
Cycle 3 Total Health Score
257
Total Weighted Health Survey Score
94.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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