Caldwell Care of Cascadia · Caldwell of Cascadia LLC

2084591522 · 210 Cleveland Boulevard, Caldwell, ID 83605

Overview

Caldwell Care of Cascadia is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135014. The provider type is Medicare and Medicaid. The ownership type is for profit - partnership. The address is 210 Cleveland Boulevard, Caldwell, ID 83605. The overall rating is 2.

Federal Provider Number 135014
Provider Name CALDWELL CARE OF CASCADIA
Legal Business Name CALDWELL OF CASCADIA LLC
Address 210 Cleveland Boulevard
Caldwell
ID 83605
County Canyon
Telephone 2084591522
Ownership Type For profit - Partnership
Provider Type Medicare and Medicaid
Date Approved 1970-05-01
Number of Certified Beds 71
Average Number of Residents per Day 47.7
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 4
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating Footnote Not enough data available to calculate a star rating.
Staffing Rating 4
Registered Nurses Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 3.44325
Reported LPN Staffing Hours per Resident per Day 0.91283
Reported RN Staffing Hours per Resident per Day 0.60995
Reported Licensed Staffing Hours per Resident per Day 1.52278
Reported Total Nurse Staffing Hours per Resident per Day 4.96603
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02052
Expected CNA Staffing Hours per Resident per Day 2.03838
Expected LPN Staffing Hours per Resident per Day 0.66157
Expected RN Staffing Hours per Resident per Day 0.32528
Expected Total Nurse Staffing Hours per Resident per Day 3.02524
Adjusted CNA Staffing Hours per Resident per Day 3.47773
Adjusted LPN Staffing Hours per Resident per Day 1.02230
Adjusted RN Staffing Hours per Resident per Day 0.75042
Adjusted Total Nurse Staffing Hours per Resident per Day 5.25274
Rating Cycle 1 Standard Survey Health Date 2019-10-18
Rating Cycle 1 Total Number of Health Deficiencies 8
Rating Cycle 1 Number of Standard Health Deficiencies 7
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 198
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 198
Rating Cycle 2 Standard Health Survey Date 2018-06-29
Rating Cycle 2 Total Number of Health Deficiencies 20
Rating Cycle 2 Number of Standard Health Deficiencies 20
Rating Cycle 2 Number of Complavarchar Health Deficiencies 3
Rating Cycle 2 Health Deficiency Score 140
Rating Cycle 2 Number of Health Revisits 2
Rating Cycle 2 Health Revisit Score 70
Rating Cycle 2 Total Health Score 210
Rating Cycle 3 Standard Health Survey Date 2016-12-02
Rating Cycle 3 Total Number of Health Deficiencies 14
Rating Cycle 3 Number of Standard Health Deficiencies 10
Rating Cycle 3 Number of Complavarchar Health Deficiencies 4
Rating Cycle 3 Health Deficiency Score 232
Rating Cycle 3 Number of Health Revisits 2
Rating Cycle 3 Health Revisit Score 116
Rating Cycle 3 Total Health Score 348
Total Weighted Health Survey Score 227.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 7
Number of Citations from Infection Control Inspections 1
Number of Fines 2
Total Amount of Fines in Dollars 115746.00
Number of Payment Denials 0
Total Number of Penalties 2
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
CALDWELL CARE OF CASCADIA

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTCASCADIA IDAHO OPERATIONS LLCOrganization100%since 09/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTBODILY, WARRENIndividualNO PERCENTAGE PROVIDEDsince 09/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 09/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHAMMOND, OWENIndividualNO PERCENTAGE PROVIDEDsince 09/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOSAC, NATHANIndividualNO PERCENTAGE PROVIDEDsince 09/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMITH, MATTHEWIndividualNO PERCENTAGE PROVIDEDsince 09/01/2017
OFFICERBODILY, WARRENIndividualsince 09/01/2017
OFFICERHAMMOND, OWENIndividualsince 09/01/2017
OPERATIONAL/MANAGERIAL CONTROLBODILY, WARRENIndividualsince 09/01/2017

Location Information

Street Address 210 CLEVELAND BOULEVARD
City CALDWELL
State ID
Zip Code 83605

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.