Meridian Center Genesis Healthcare - Meridian Nursing Home
General Information
UPDATEFederal Provider Number
135125
Provider Name
MERIDIAN CENTER GENESIS HEALTHCARE
Provider Address
1351 WEST PINE AVENUE
MERIDIAN, ID 83642
MERIDIAN, ID 83642
Provider Phone Number
(208) 888-7049
Provider SSA County
0
Provider County Name
Ada
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
139
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1997-03-20
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
2
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
3.00950
Reported LPN Staffing Hours per Resident per Day
0.87300
Reported RN Staffing Hours per Resident per Day
1.06600
Reported Licensed Staffing Hours per Resident per Day
1.93900
Reported Total Nurse Staffing Hours per Resident per Day
4.94850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08200
Expected CNA Staffing Hours per Resident per Day
2.49380
Expected LPN Staffing Hours per Resident per Day
0.72239
Expected RN Staffing Hours per Resident per Day
1.32032
Expected Total Nurse Staffing Hours per Resident per Day
4.53651
Adjusted CNA Staffing Hours per Resident per Day
2.96111
Adjusted LPN Staffing Hours per Resident per Day
1.00305
Adjusted RN Staffing Hours per Resident per Day
0.60327
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39698
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
192
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
192
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
153.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
26
Number of Fines
2
Total Amount of Fines in Dollars
3445
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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