St Luke's Rehab - Elks Sub Acute Rehab Unit - Boise Nursing Home
General Information
UPDATEFederal Provider Number
135114
Provider Name
ST LUKE'S REHAB - ELKS SUB ACUTE REHAB UNIT
Provider Address
600 NORTH ROBBINS ROAD
BOISE, ID 83702
BOISE, ID 83702
Provider Phone Number
(208) 489-4444
Provider SSA County
0
Provider County Name
Ada
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
10
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
ST LUKE'S REGIONAL MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1993-06-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
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
3.36500
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
3.53500
Reported Licensed Staffing Hours per Resident per Day
3.53500
Reported Total Nurse Staffing Hours per Resident per Day
6.90000
Reported Physical Therapist Staffing Hours per Resident Per Day
1.02000
Expected CNA Staffing Hours per Resident per Day
3.04750
Expected LPN Staffing Hours per Resident per Day
1.10426
Expected RN Staffing Hours per Resident per Day
2.12290
Expected Total Nurse Staffing Hours per Resident per Day
6.27466
Adjusted CNA Staffing Hours per Resident per Day
2.70933
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.24422
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43262
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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