Gateway Transitional Care Center - Pocatello Nursing Home
General Information
UPDATEFederal Provider Number
135011
Provider Name
GATEWAY TRANSITIONAL CARE CENTER
Provider Address
527 MEMORIAL DRIVE
POCATELLO, ID 83201
POCATELLO, ID 83201
Provider Phone Number
(208) 478-3333
Provider SSA County
20
Provider County Name
Bannock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POCATELLO HEALTH SERVICES, INC.
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.54828
Reported LPN Staffing Hours per Resident per Day
0.74741
Reported RN Staffing Hours per Resident per Day
1.36293
Reported Licensed Staffing Hours per Resident per Day
2.11034
Reported Total Nurse Staffing Hours per Resident per Day
4.65862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16983
Expected CNA Staffing Hours per Resident per Day
2.46502
Expected LPN Staffing Hours per Resident per Day
0.71535
Expected RN Staffing Hours per Resident per Day
1.20881
Expected Total Nurse Staffing Hours per Resident per Day
4.38919
Adjusted CNA Staffing Hours per Resident per Day
2.53658
Adjusted LPN Staffing Hours per Resident per Day
0.86719
Adjusted RN Staffing Hours per Resident per Day
0.84246
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27834
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
90
Cycle 2 Total Health Score
218
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
121.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
56385
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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