Ivy Court - Coeur D'alene Nursing Home
General Information
UPDATEFederal Provider Number
135053
Provider Name
IVY COURT
Provider Address
2200 IRONWOOD PLACE
COEUR D'ALENE, ID 83814
COEUR D'ALENE, ID 83814
Provider Phone Number
(208) 667-6486
Provider SSA County
270
Provider County Name
Kootenai
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1973-06-15
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.81645
Reported LPN Staffing Hours per Resident per Day
0.55921
Reported RN Staffing Hours per Resident per Day
1.13882
Reported Licensed Staffing Hours per Resident per Day
1.69803
Reported Total Nurse Staffing Hours per Resident per Day
4.51448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20855
Expected CNA Staffing Hours per Resident per Day
2.54910
Expected LPN Staffing Hours per Resident per Day
0.70629
Expected RN Staffing Hours per Resident per Day
1.18093
Expected Total Nurse Staffing Hours per Resident per Day
4.43632
Adjusted CNA Staffing Hours per Resident per Day
2.71104
Adjusted LPN Staffing Hours per Resident per Day
0.65715
Adjusted RN Staffing Hours per Resident per Day
0.72056
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10191
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
64
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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