Cove of Cascadia, The · Bellevue of Cascadia, LLC

2087887180 · 620 North Sixth Street, Bellevue, ID 83313

Overview

Cove of Cascadia, The is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135069. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 620 North Sixth Street, Bellevue, ID 83313. The overall rating is 4.

Federal Provider Number 135069
Provider Name COVE OF CASCADIA, THE
Legal Business Name BELLEVUE OF CASCADIA, LLC
Address 620 North Sixth Street
Bellevue
ID 83313
County Blaine
Telephone 2087887180
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 1982-05-07
Number of Certified Beds 32
Average Number of Residents per Day 29.1
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 Y
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 4
Health Inspection Rating 3
Quality Measure Rating 3
Long Stay Quality Measure Rating 2
Short Stay Quality Measure Rating 5
Staffing Rating 5
Registered Nurses Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.49555
Reported LPN Staffing Hours per Resident per Day 0.66087
Reported RN Staffing Hours per Resident per Day 1.21464
Reported Licensed Staffing Hours per Resident per Day 1.87551
Reported Total Nurse Staffing Hours per Resident per Day 5.37106
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04037
Expected CNA Staffing Hours per Resident per Day 2.20740
Expected LPN Staffing Hours per Resident per Day 0.71395
Expected RN Staffing Hours per Resident per Day 0.31609
Expected Total Nurse Staffing Hours per Resident per Day 3.23743
Adjusted CNA Staffing Hours per Resident per Day 3.26022
Adjusted LPN Staffing Hours per Resident per Day 0.68582
Adjusted RN Staffing Hours per Resident per Day 1.53786
Adjusted Total Nurse Staffing Hours per Resident per Day 5.30879
Rating Cycle 1 Standard Survey Health Date 2019-01-18
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 6
Rating Cycle 1 Number of Complavarchar Health Deficiencies 2
Rating Cycle 1 Health Deficiency Score 68
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 68
Rating Cycle 2 Standard Health Survey Date 2017-07-28
Rating Cycle 2 Total Number of Health Deficiencies 15
Rating Cycle 2 Number of Standard Health Deficiencies 12
Rating Cycle 2 Number of Complavarchar Health Deficiencies 3
Rating Cycle 2 Health Deficiency Score 132
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 132
Rating Cycle 3 Standard Health Survey Date 2016-05-13
Rating Cycle 3 Total Number of Health Deficiencies 11
Rating Cycle 3 Number of Standard Health Deficiencies 11
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 48
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 86.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 2
Number of Citations from Infection Control Inspections 6
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
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
COVE OF CASCADIA, THE

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTCASCADIA IDAHO OPERATIONS LLCOrganization100%since 02/02/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTBODILY, WARRENIndividualNO PERCENTAGE PROVIDEDsince 02/01/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTHAMMOND, OWENIndividualNO PERCENTAGE PROVIDEDsince 02/01/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOSAC, NATHANIndividualNO PERCENTAGE PROVIDEDsince 02/01/2020
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMITH, MATTHEWIndividualNO PERCENTAGE PROVIDEDsince 02/01/2020
OPERATIONAL/MANAGERIAL CONTROLBODILY, WARRENIndividualsince 02/01/2020

Location Information

Street Address 620 NORTH SIXTH STREET
City BELLEVUE
State ID
Zip Code 83313

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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.