Mini-cassia Care Center - Burley Nursing Home
General Information
UPDATEFederal Provider Number
135081
Provider Name
MINI-CASSIA CARE CENTER
Provider Address
1729 MILLER AVENUE
BURLEY, ID 83318
BURLEY, ID 83318
Provider Phone Number
(208) 678-9474
Provider SSA County
150
Provider County Name
Cassia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAROLAIS CARE I, INC
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
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
7.34259
Reported LPN Staffing Hours per Resident per Day
0.62037
Reported RN Staffing Hours per Resident per Day
1.01111
Reported Licensed Staffing Hours per Resident per Day
1.63148
Reported Total Nurse Staffing Hours per Resident per Day
8.97407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04630
Expected CNA Staffing Hours per Resident per Day
2.47381
Expected LPN Staffing Hours per Resident per Day
0.63820
Expected RN Staffing Hours per Resident per Day
0.87901
Expected Total Nurse Staffing Hours per Resident per Day
3.99102
Adjusted CNA Staffing Hours per Resident per Day
7.28289
Adjusted LPN Staffing Hours per Resident per Day
0.80682
Adjusted RN Staffing Hours per Resident per Day
0.85949
Adjusted Total Nurse Staffing Hours per Resident per Day
9.06375
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-01-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
227
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
227
Total Weighted Health Survey Score
102.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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