Life Care Center Of Idaho Falls - Idaho Falls Nursing Home
General Information
UPDATEFederal Provider Number
135091
Provider Name
LIFE CARE CENTER OF IDAHO FALLS
Provider Address
2725 EAST 17TH STREET
IDAHO FALLS, ID 83406
IDAHO FALLS, ID 83406
Provider Phone Number
(208) 529-4567
Provider SSA County
90
Provider County Name
Bonneville
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
109
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GEM MEDICAL INVESTORS LP
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.68583
Reported LPN Staffing Hours per Resident per Day
0.95000
Reported RN Staffing Hours per Resident per Day
0.92167
Reported Licensed Staffing Hours per Resident per Day
1.87167
Reported Total Nurse Staffing Hours per Resident per Day
4.55750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11417
Expected CNA Staffing Hours per Resident per Day
2.66148
Expected LPN Staffing Hours per Resident per Day
0.67923
Expected RN Staffing Hours per Resident per Day
1.03756
Expected Total Nurse Staffing Hours per Resident per Day
4.37828
Adjusted CNA Staffing Hours per Resident per Day
2.47614
Adjusted LPN Staffing Hours per Resident per Day
1.16087
Adjusted RN Staffing Hours per Resident per Day
0.66374
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19590
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-02-14
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-08-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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