Life Care Center Of Coeur D'alene - Coeur D'alene Nursing Home
General Information
UPDATEFederal Provider Number
135122
Provider Name
LIFE CARE CENTER OF COEUR D'ALENE
Provider Address
500 WEST AQUA AVENUE
COEUR D'ALENE, ID 83815
COEUR D'ALENE, ID 83815
Provider Phone Number
(208) 762-1122
Provider SSA County
270
Provider County Name
Kootenai
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE CITY MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1996-08-27
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
4
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
2.38274
Reported LPN Staffing Hours per Resident per Day
0.74881
Reported RN Staffing Hours per Resident per Day
1.32917
Reported Licensed Staffing Hours per Resident per Day
2.07798
Reported Total Nurse Staffing Hours per Resident per Day
4.46072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27440
Expected CNA Staffing Hours per Resident per Day
2.45520
Expected LPN Staffing Hours per Resident per Day
0.70070
Expected RN Staffing Hours per Resident per Day
1.24906
Expected Total Nurse Staffing Hours per Resident per Day
4.40496
Adjusted CNA Staffing Hours per Resident per Day
2.38128
Adjusted LPN Staffing Hours per Resident per Day
0.88699
Adjusted RN Staffing Hours per Resident per Day
0.79513
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08192
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
40
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
2210
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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