Idaho Nursing Homes >> Kimberly Nursing Homes >> Oak Creek Rehabilitation Center Of Kimberly

Oak Creek Rehabilitation Center Of Kimberly - Kimberly Nursing Home

General Information

UPDATE
Federal Provider Number
135084
Provider Name
OAK CREEK REHABILITATION CENTER OF KIMBERLY
Provider Address
500 POLK STREET EAST
KIMBERLY, ID 83341
Provider Phone Number
(208) 423-5591
Provider SSA County
410
Provider County Name
Twin Falls
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHAROLAIS CARE II, INC
Date First Approved to Provide Medicare and Medicaid services
1981-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
6.72903
Reported LPN Staffing Hours per Resident per Day
1.49355
Reported RN Staffing Hours per Resident per Day
1.17903
Reported Licensed Staffing Hours per Resident per Day
2.67258
Reported Total Nurse Staffing Hours per Resident per Day
9.40161
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06935
Expected CNA Staffing Hours per Resident per Day
2.71481
Expected LPN Staffing Hours per Resident per Day
0.69827
Expected RN Staffing Hours per Resident per Day
0.97676
Expected Total Nurse Staffing Hours per Resident per Day
4.38984
Adjusted CNA Staffing Hours per Resident per Day
6.08183
Adjusted LPN Staffing Hours per Resident per Day
1.77531
Adjusted RN Staffing Hours per Resident per Day
0.90193
Adjusted Total Nurse Staffing Hours per Resident per Day
8.63287
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
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
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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