Payette Center - Payette Nursing Home
General Information
UPDATEFederal Provider Number
135015
Provider Name
PAYETTE CENTER
Provider Address
1019 THIRD AVENUE SOUTH
PAYETTE, ID 83661
PAYETTE, ID 83661
Provider Phone Number
2086424455
Provider SSA County
370
Provider County Name
Payette
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
36
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
1977-07-01
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
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
2.25417
Reported LPN Staffing Hours per Resident per Day
0.75139
Reported RN Staffing Hours per Resident per Day
1.46806
Reported Licensed Staffing Hours per Resident per Day
2.21944
Reported Total Nurse Staffing Hours per Resident per Day
4.47362
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12361
Expected CNA Staffing Hours per Resident per Day
2.44110
Expected LPN Staffing Hours per Resident per Day
0.62904
Expected RN Staffing Hours per Resident per Day
1.12737
Expected Total Nurse Staffing Hours per Resident per Day
4.19751
Adjusted CNA Staffing Hours per Resident per Day
2.26581
Adjusted LPN Staffing Hours per Resident per Day
0.99144
Adjusted RN Staffing Hours per Resident per Day
0.97300
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29605
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
5915
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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