Aspen Park of Cascadia · Moscow of Cascadia LLC

2088824576 · 420 Rowe Street, Moscow, ID 83843

Overview

Aspen Park of Cascadia is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135093. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 420 Rowe Street, Moscow, ID 83843. The overall rating is 5.

Federal Provider Number 135093
Provider Name ASPEN PARK OF CASCADIA
Legal Business Name MOSCOW OF CASCADIA LLC
Address 420 Rowe Street
Moscow
ID 83843
County Latah
Telephone 2088824576
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 1982-02-19
Number of Certified Beds 70
Average Number of Residents per Day 46.4
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 5
Registered Nurses Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.74342
Reported LPN Staffing Hours per Resident per Day 0.53285
Reported RN Staffing Hours per Resident per Day 0.97794
Reported Licensed Staffing Hours per Resident per Day 1.51079
Reported Total Nurse Staffing Hours per Resident per Day 4.25420
Reported Physical Therapist Staffing Hours per Resident Per Day 0.10640
Expected CNA Staffing Hours per Resident per Day 1.80673
Expected LPN Staffing Hours per Resident per Day 0.67648
Expected RN Staffing Hours per Resident per Day 0.33611
Expected Total Nurse Staffing Hours per Resident per Day 2.81932
Adjusted CNA Staffing Hours per Resident per Day 3.12617
Adjusted LPN Staffing Hours per Resident per Day 0.58360
Adjusted RN Staffing Hours per Resident per Day 1.16440
Adjusted Total Nurse Staffing Hours per Resident per Day 4.82848
Rating Cycle 1 Standard Survey Health Date 2019-01-31
Rating Cycle 1 Total Number of Health Deficiencies 4
Rating Cycle 1 Number of Standard Health Deficiencies 3
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 20
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 20
Rating Cycle 2 Standard Health Survey Date 2017-10-12
Rating Cycle 2 Total Number of Health Deficiencies 2
Rating Cycle 2 Number of Standard Health Deficiencies 2
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 24
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 24
Rating Cycle 3 Standard Health Survey Date 2016-06-23
Rating Cycle 3 Total Number of Health Deficiencies 6
Rating Cycle 3 Number of Standard Health Deficiencies 6
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 48
Rating Cycle 3 Number of Health Revisits 2
Rating Cycle 3 Health Revisit Score 24
Rating Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 30.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 1
Number of Fines 1
Total Amount of Fines in Dollars 650.00
Number of Payment Denials 0
Total Number of Penalties 1
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
ASPEN PARK OF CASCADIA

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER INDIRECT OWNERSHIP INTERESTBODILY, WARRENIndividualNO PERCENTAGE PROVIDEDsince 10/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 10/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA IDAHO OPERATIONS LLCOrganizationNO PERCENTAGE PROVIDEDsince 10/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHAMMOND, OWENIndividualNO PERCENTAGE PROVIDEDsince 10/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOSAC, NATHANIndividualNO PERCENTAGE PROVIDEDsince 10/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMITH, MATTHEWIndividualNO PERCENTAGE PROVIDEDsince 10/01/2017
MANAGING EMPLOYEEHAMMOND, OWENIndividualsince 10/01/2017
OFFICERBODILY, WARRENIndividualsince 10/01/2017
OFFICERHAMMOND, OWENIndividualsince 10/01/2017
OPERATIONAL/MANAGERIAL CONTROLBODILY, WARRENIndividualsince 10/01/2017

Location Information

Street Address 420 ROWE STREET
City MOSCOW
State ID
Zip Code 83843

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Good Samaritan Society - Moscow Village · The Evangelical Lutheran Good Samaritan Society 640 North Eisenhower Street, Moscow, ID 8384320888265601977-06-015

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Saint Mary's Villa Nursing Hom · St. Mary's Villa Nursing Home, Inc. 516 St. Mary's Villa Road, Moscow, PA 1844457084276211977-01-013

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Life Care Center of Idaho Falls · Gem Medical Investors LLC 2725 East 17th Street, Idaho Falls, ID 8340620852945671981-10-015
Life Care Center of Post Falls · Post Falls Medical Investors LLC 460 North Garden Plaza Court, Post Falls, ID 8385420877703182009-02-242
Shaw Mountain of Cascadia LLC 909 Reserve Street, Boise, ID 8371220834377171981-09-015
Teton Post Acute Care & Rehabilitation · Empres At Idaho Falls, LLC 3111 Channing Way, Idaho Falls, ID 8340420852900672013-09-053
Good Samaritan Society - Idaho Falls Village · The Evangelical Lutheran Good Samaritan Society 840 East Elva Street, Idaho Falls, ID 8340120852347951981-11-012
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Nursing Homes with similar names

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Orchards of Cascadia, The · Nampa West of Cascadia LLC 404 North Horton Street, Nampa, ID 8365120846692921970-05-014
Cascadia of Nampa · Nampa of Cascadia LLC 900 N Happy Valley Rd, Nampa, ID 8368720840196392018-03-073
Twin Falls Transitional Care of Cascadia · Twin Falls of Cascadia, LLC 674 Eastland Drive, Twin Falls, ID 8330120873442641988-03-102
Mountain Valley of Cascadia · Kellog of Cascadia LLC 601 West Cameron Avenue, Kellogg, ID 8383720878412831979-09-015
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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.