Saint Alphonsus Transitional Rehabilitation Unit - Boise Nursing Home
General Information
UPDATEFederal Provider Number
135119
Provider Name
SAINT ALPHONSUS TRANSITIONAL REHABILITATION UNIT
Provider Address
1055 NORTH CURTIS ROAD
BOISE, ID 83706
BOISE, ID 83706
Provider Phone Number
(208) 367-2660
Provider SSA County
0
Provider County Name
Ada
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
15
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-09-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
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
2.44091
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.20909
Reported Licensed Staffing Hours per Resident per Day
5.20909
Reported Total Nurse Staffing Hours per Resident per Day
7.65000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.84545
Expected CNA Staffing Hours per Resident per Day
1.95006
Expected LPN Staffing Hours per Resident per Day
0.54980
Expected RN Staffing Hours per Resident per Day
1.36080
Expected Total Nurse Staffing Hours per Resident per Day
3.86066
Adjusted CNA Staffing Hours per Resident per Day
3.07132
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
2.86025
Adjusted Total Nurse Staffing Hours per Resident per Day
7.98733
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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