Lacrosse Health & Rehabilitation Center - Coeur D'alene Nursing Home
General Information
UPDATEFederal Provider Number
135042
Provider Name
LACROSSE HEALTH & REHABILITATION CENTER
Provider Address
210 WEST LACROSSE AVENUE
COEUR D'ALENE, ID 83814
COEUR D'ALENE, ID 83814
Provider Phone Number
(208) 664-2185
Provider SSA County
270
Provider County Name
Kootenai
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
88
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
1967-12-13
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
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
2.52045
Reported LPN Staffing Hours per Resident per Day
0.79716
Reported RN Staffing Hours per Resident per Day
1.13068
Reported Licensed Staffing Hours per Resident per Day
1.92784
Reported Total Nurse Staffing Hours per Resident per Day
4.44829
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06591
Expected CNA Staffing Hours per Resident per Day
2.48266
Expected LPN Staffing Hours per Resident per Day
0.74869
Expected RN Staffing Hours per Resident per Day
1.17406
Expected Total Nurse Staffing Hours per Resident per Day
4.40540
Adjusted CNA Staffing Hours per Resident per Day
2.49105
Adjusted LPN Staffing Hours per Resident per Day
0.88373
Adjusted RN Staffing Hours per Resident per Day
0.71959
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07014
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
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
60
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
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
112
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
108.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
1105
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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