Valley Vista Care Center Of St Maries - St Maries Nursing Home
General Information
UPDATEFederal Provider Number
135075
Provider Name
VALLEY VISTA CARE CENTER OF ST MARIES
Provider Address
820 ELM STREET
ST MARIES, ID 83861
ST MARIES, ID 83861
Provider Phone Number
(208) 245-4576
Provider SSA County
40
Provider County Name
Benewah
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY VISTA CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1979-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
4.19545
Reported LPN Staffing Hours per Resident per Day
0.73939
Reported RN Staffing Hours per Resident per Day
0.75152
Reported Licensed Staffing Hours per Resident per Day
1.49091
Reported Total Nurse Staffing Hours per Resident per Day
5.68636
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11061
Expected CNA Staffing Hours per Resident per Day
2.42549
Expected LPN Staffing Hours per Resident per Day
0.56982
Expected RN Staffing Hours per Resident per Day
0.79004
Expected Total Nurse Staffing Hours per Resident per Day
3.78535
Adjusted CNA Staffing Hours per Resident per Day
4.24425
Adjusted LPN Staffing Hours per Resident per Day
1.07700
Adjusted RN Staffing Hours per Resident per Day
0.71077
Adjusted Total Nurse Staffing Hours per Resident per Day
6.05523
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
42
Cycle 1 Total Health Score
126
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
68
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
102
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
107.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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