Monte Vista Hills Healthcare Center - Pocatello Nursing Home
General Information
UPDATEFederal Provider Number
135018
Provider Name
MONTE VISTA HILLS HEALTHCARE CENTER
Provider Address
1071 RENEE AVENUE
POCATELLO, ID 83201
POCATELLO, ID 83201
Provider Phone Number
(208) 233-1411
Provider SSA County
20
Provider County Name
Bannock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY VIEW HEALTH SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.56795
Reported LPN Staffing Hours per Resident per Day
0.65897
Reported RN Staffing Hours per Resident per Day
1.35385
Reported Licensed Staffing Hours per Resident per Day
2.01282
Reported Total Nurse Staffing Hours per Resident per Day
4.58077
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07051
Expected CNA Staffing Hours per Resident per Day
2.44988
Expected LPN Staffing Hours per Resident per Day
0.70437
Expected RN Staffing Hours per Resident per Day
1.07659
Expected Total Nurse Staffing Hours per Resident per Day
4.23084
Adjusted CNA Staffing Hours per Resident per Day
2.57196
Adjusted LPN Staffing Hours per Resident per Day
0.77650
Adjusted RN Staffing Hours per Resident per Day
0.93963
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36429
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
44
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
66
Cycle 2 Total Health Score
198
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
216
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
216
Total Weighted Health Survey Score
168.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
53593
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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