Royal Plaza Health & Rehabilitation - Lewiston Nursing Home
General Information
UPDATEFederal Provider Number
135116
Provider Name
ROYAL PLAZA HEALTH & REHABILITATION
Provider Address
2870 JUNIPER DRIVE
LEWISTON, ID 83501
LEWISTON, ID 83501
Provider Phone Number
(208) 746-2855
Provider SSA County
340
Provider County Name
Nez Perce
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
56
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEWISTON ROYAL PLAZA CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.10116
Reported LPN Staffing Hours per Resident per Day
0.52326
Reported RN Staffing Hours per Resident per Day
1.09070
Reported Licensed Staffing Hours per Resident per Day
1.61395
Reported Total Nurse Staffing Hours per Resident per Day
4.71512
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11744
Expected CNA Staffing Hours per Resident per Day
2.83505
Expected LPN Staffing Hours per Resident per Day
0.72761
Expected RN Staffing Hours per Resident per Day
1.19413
Expected Total Nurse Staffing Hours per Resident per Day
4.75679
Adjusted CNA Staffing Hours per Resident per Day
2.68402
Adjusted LPN Staffing Hours per Resident per Day
0.59689
Adjusted RN Staffing Hours per Resident per Day
0.68248
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99559
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-27
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
58.00000
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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