Eastern Idaho Regional Medical Center - Tcu - Idaho Falls Nursing Home
General Information
UPDATEFederal Provider Number
135115
Provider Name
EASTERN IDAHO REGIONAL MEDICAL CENTER - TCU
Provider Address
3100 CHANNING WAY, 83404-7533
IDAHO FALLS, ID 83403
IDAHO FALLS, ID 83403
Provider Phone Number
(208) 529-7690
Provider SSA County
90
Provider County Name
Bonneville
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
15
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
EASTERN IDAHO HEALTH SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
1.03000
Reported LPN Staffing Hours per Resident per Day
1.27667
Reported RN Staffing Hours per Resident per Day
3.16000
Reported Licensed Staffing Hours per Resident per Day
4.43667
Reported Total Nurse Staffing Hours per Resident per Day
5.46667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38000
Expected CNA Staffing Hours per Resident per Day
2.58137
Expected LPN Staffing Hours per Resident per Day
0.79184
Expected RN Staffing Hours per Resident per Day
1.93176
Expected Total Nurse Staffing Hours per Resident per Day
5.30498
Adjusted CNA Staffing Hours per Resident per Day
0.97906
Adjusted LPN Staffing Hours per Resident per Day
1.33819
Adjusted RN Staffing Hours per Resident per Day
1.22228
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15376
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-11
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
40.66700
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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