Rexburg Care & Rehabilitation Center - Rexburg Nursing Home
General Information
UPDATEFederal Provider Number
135105
Provider Name
REXBURG CARE & REHABILITATION CENTER
Provider Address
660 SOUTH SECOND STREET WEST
REXBURG, ID 83440
REXBURG, ID 83440
Provider Phone Number
(208) 356-0220
Provider SSA County
320
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
119
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEAK MEDICAL IDAHO OPERATIONS, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-03-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25000
Reported LPN Staffing Hours per Resident per Day
0.25000
Reported RN Staffing Hours per Resident per Day
0.99405
Reported Licensed Staffing Hours per Resident per Day
1.24405
Reported Total Nurse Staffing Hours per Resident per Day
3.49405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12262
Expected CNA Staffing Hours per Resident per Day
2.55044
Expected LPN Staffing Hours per Resident per Day
0.74520
Expected RN Staffing Hours per Resident per Day
1.27590
Expected Total Nurse Staffing Hours per Resident per Day
4.57154
Adjusted CNA Staffing Hours per Resident per Day
2.16465
Adjusted LPN Staffing Hours per Resident per Day
0.27845
Adjusted RN Staffing Hours per Resident per Day
0.58214
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08084
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
102
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
73.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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Nursiong Homes Nearby
Madison Carriage Cove Short Stay Rehabilitation
410 West 1st North |
REXBURG ID 83440 | 1 mile away