Immanuel Skilled Care Center - Kalispell Nursing Home
General Information
UPDATEFederal Provider Number
275129
Provider Name
IMMANUEL SKILLED CARE CENTER
Provider Address
185 CRESTLINE AVE
KALISPELL, MT 59901
KALISPELL, MT 59901
Provider Phone Number
4067529622
Provider SSA County
140
Provider County Name
Flathead
Ownership Type
Non profit - Church related
Number of Certified Beds
155
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IMMANUEL LUTHERAN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.60566
Reported LPN Staffing Hours per Resident per Day
0.64906
Reported RN Staffing Hours per Resident per Day
0.87830
Reported Licensed Staffing Hours per Resident per Day
1.52736
Reported Total Nurse Staffing Hours per Resident per Day
4.13302
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.51541
Expected LPN Staffing Hours per Resident per Day
0.56742
Expected RN Staffing Hours per Resident per Day
0.79319
Expected Total Nurse Staffing Hours per Resident per Day
3.87602
Adjusted CNA Staffing Hours per Resident per Day
2.54173
Adjusted LPN Staffing Hours per Resident per Day
0.94943
Adjusted RN Staffing Hours per Resident per Day
0.82738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29817
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-08-14
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
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
230
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
138.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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
Nursiong Homes Nearby
Brendan House
350 Conway Dr |
KALISPELL MT 59901 | 0.1 mile away
Heritage Place Healthcare Community
171 Heritage Way |
KALISPELL MT 59901 | 0.6 mile away
Montana Veterans Home N H
400 Veterans Dr |
COLUMBIA FALLS MT 59912 | 12 miles away
Whitefish Center
1305 E 7th St |
WHITEFISH MT 59937 | 13.4 miles away
Lake View Healthcare Community
1050 Grand Ave |
BIGFORK MT 59911 | 15 miles away
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