Kindred Transitional Care & Rehab - Lewiston - Lewiston Nursing Home
General Information
UPDATEFederal Provider Number
135021
Provider Name
KINDRED TRANSITIONAL CARE & REHAB - LEWISTON
Provider Address
3315 8TH STREET
LEWISTON, ID 83501
LEWISTON, ID 83501
Provider Phone Number
(208) 743-9543
Provider SSA County
340
Provider County Name
Nez Perce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
66
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
1972-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.30909
Reported LPN Staffing Hours per Resident per Day
0.65076
Reported RN Staffing Hours per Resident per Day
0.92197
Reported Licensed Staffing Hours per Resident per Day
1.57273
Reported Total Nurse Staffing Hours per Resident per Day
3.88182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07576
Expected CNA Staffing Hours per Resident per Day
2.33838
Expected LPN Staffing Hours per Resident per Day
0.57496
Expected RN Staffing Hours per Resident per Day
0.92920
Expected Total Nurse Staffing Hours per Resident per Day
3.84254
Adjusted CNA Staffing Hours per Resident per Day
2.42296
Adjusted LPN Staffing Hours per Resident per Day
0.93942
Adjusted RN Staffing Hours per Resident per Day
0.74139
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07210
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-02-28
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
7735
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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