Kindred Nursing & Rehabilitation - Aspen Park - Moscow Nursing Home
General Information
UPDATEFederal Provider Number
135093
Provider Name
KINDRED NURSING & REHABILITATION - ASPEN PARK
Provider Address
420 ROWE STREET
MOSCOW, ID 83843
MOSCOW, ID 83843
Provider Phone Number
(208) 882-4576
Provider SSA County
280
Provider County Name
Latah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1982-02-19
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.97750
Reported LPN Staffing Hours per Resident per Day
0.40875
Reported RN Staffing Hours per Resident per Day
1.24250
Reported Licensed Staffing Hours per Resident per Day
1.65125
Reported Total Nurse Staffing Hours per Resident per Day
3.62875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13000
Expected CNA Staffing Hours per Resident per Day
2.31324
Expected LPN Staffing Hours per Resident per Day
0.63282
Expected RN Staffing Hours per Resident per Day
1.09426
Expected Total Nurse Staffing Hours per Resident per Day
4.04031
Adjusted CNA Staffing Hours per Resident per Day
2.09758
Adjusted LPN Staffing Hours per Resident per Day
0.53611
Adjusted RN Staffing Hours per Resident per Day
0.84843
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62029
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
46.00000
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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