Life Care Center Of Treasure Valley - Boise Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
135123
Provider Name
LIFE CARE CENTER OF TREASURE VALLEY
Provider Address
502 NORTH KIMBALL PLACE
BOISE, ID 83704
BOISE, ID 83704
Provider Phone Number
(208) 377-1900
Provider SSA County
0
Provider County Name
Ada
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMERALD MEDICAL INVESTORS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-11-26
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
2.58797
Reported LPN Staffing Hours per Resident per Day
0.70443
Reported RN Staffing Hours per Resident per Day
1.05506
Reported Licensed Staffing Hours per Resident per Day
1.75949
Reported Total Nurse Staffing Hours per Resident per Day
4.34746
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06139
Expected CNA Staffing Hours per Resident per Day
2.52208
Expected LPN Staffing Hours per Resident per Day
0.66337
Expected RN Staffing Hours per Resident per Day
1.13026
Expected Total Nurse Staffing Hours per Resident per Day
4.31571
Adjusted CNA Staffing Hours per Resident per Day
2.51780
Adjusted LPN Staffing Hours per Resident per Day
0.88138
Adjusted RN Staffing Hours per Resident per Day
0.69749
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06056
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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