Life Care Center Of Boise - Boise Nursing Home
General Information
UPDATEFederal Provider Number
135038
Provider Name
LIFE CARE CENTER OF BOISE
Provider Address
808 NORTH CURTIS ROAD
BOISE, ID 83706
BOISE, ID 83706
Provider Phone Number
(208) 376-5273
Provider SSA County
0
Provider County Name
Ada
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
153
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-07-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56338
Reported LPN Staffing Hours per Resident per Day
0.94155
Reported RN Staffing Hours per Resident per Day
0.92676
Reported Licensed Staffing Hours per Resident per Day
1.86831
Reported Total Nurse Staffing Hours per Resident per Day
4.43169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12113
Expected CNA Staffing Hours per Resident per Day
2.44708
Expected LPN Staffing Hours per Resident per Day
0.64909
Expected RN Staffing Hours per Resident per Day
1.09211
Expected Total Nurse Staffing Hours per Resident per Day
4.18827
Adjusted CNA Staffing Hours per Resident per Day
2.57032
Adjusted LPN Staffing Hours per Resident per Day
1.20397
Adjusted RN Staffing Hours per Resident per Day
0.63407
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26517
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
56
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2011-12-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
118.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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