Kindred Nursing & Rehabilitation - Caldwell - Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
135014
Provider Name
KINDRED NURSING & REHABILITATION - CALDWELL
Provider Address
210 CLEVELAND BOULEVARD
CALDWELL, ID 83605
CALDWELL, ID 83605
Provider Phone Number
(208) 459-1522
Provider SSA County
130
Provider County Name
Canyon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
61
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
1970-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.39344
Reported LPN Staffing Hours per Resident per Day
0.79754
Reported RN Staffing Hours per Resident per Day
0.59508
Reported Licensed Staffing Hours per Resident per Day
1.39262
Reported Total Nurse Staffing Hours per Resident per Day
5.78606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09016
Expected CNA Staffing Hours per Resident per Day
2.49581
Expected LPN Staffing Hours per Resident per Day
0.70462
Expected RN Staffing Hours per Resident per Day
1.13736
Expected Total Nurse Staffing Hours per Resident per Day
4.33779
Adjusted CNA Staffing Hours per Resident per Day
4.31931
Adjusted LPN Staffing Hours per Resident per Day
0.93946
Adjusted RN Staffing Hours per Resident per Day
0.39094
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37671
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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