Nevada State Veterans Home - Boulder City - Boulder City Nursing Home
General Information
UPDATEFederal Provider Number
295081
Provider Name
NEVADA STATE VETERANS HOME - BOULDER CITY
Provider Address
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
BOULDER CITY, NV 89005
Provider Phone Number
(702) 332-6711
Provider SSA County
10
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
180
Number of Residents in Certified Beds
172
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF NEVADA
Date First Approved to Provide Medicare and Medicaid services
2002-09-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.20523
Reported LPN Staffing Hours per Resident per Day
0.80552
Reported RN Staffing Hours per Resident per Day
0.83459
Reported Licensed Staffing Hours per Resident per Day
1.64012
Reported Total Nurse Staffing Hours per Resident per Day
3.84534
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10785
Expected CNA Staffing Hours per Resident per Day
2.20722
Expected LPN Staffing Hours per Resident per Day
0.54234
Expected RN Staffing Hours per Resident per Day
0.84900
Expected Total Nurse Staffing Hours per Resident per Day
3.59856
Adjusted CNA Staffing Hours per Resident per Day
2.45149
Adjusted LPN Staffing Hours per Resident per Day
1.23277
Adjusted RN Staffing Hours per Resident per Day
0.73452
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30733
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-12-20
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
14
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
20166
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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