Wellspring Health & Rehabilitation of Cascadia · Canyon County of Cascadia, LLC

2084675721 · 2105 12th Avenue Road, Nampa, ID 83686

Overview

Wellspring Health & Rehabilitation of Cascadia is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135094. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 2105 12th Avenue Road, Nampa, ID 83686. The overall rating is 2.

Federal Provider Number 135094
Provider Name WELLSPRING HEALTH & REHABILITATION OF CASCADIA
Legal Business Name CANYON COUNTY OF CASCADIA, LLC
Address 2105 12th Avenue Road
Nampa
ID 83686
County Canyon
Telephone 2084675721
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 1983-09-09
Number of Certified Beds 120
Average Number of Residents per Day 53.1
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 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 2
Quality Measure Rating 4
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 4
Staffing Rating 3
Registered Nurses Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.83181
Reported LPN Staffing Hours per Resident per Day 0.69015
Reported RN Staffing Hours per Resident per Day 1.06603
Reported Licensed Staffing Hours per Resident per Day 1.75618
Reported Total Nurse Staffing Hours per Resident per Day 4.58799
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18003
Expected CNA Staffing Hours per Resident per Day 2.28700
Expected LPN Staffing Hours per Resident per Day 0.86142
Expected RN Staffing Hours per Resident per Day 0.75545
Expected Total Nurse Staffing Hours per Resident per Day 3.90387
Adjusted CNA Staffing Hours per Resident per Day 2.54924
Adjusted LPN Staffing Hours per Resident per Day 0.59360
Adjusted RN Staffing Hours per Resident per Day 0.56472
Adjusted Total Nurse Staffing Hours per Resident per Day 3.76065
Rating Cycle 1 Standard Survey Health Date 2019-11-15
Rating Cycle 1 Total Number of Health Deficiencies 11
Rating Cycle 1 Number of Standard Health Deficiencies 7
Rating Cycle 1 Number of Complavarchar Health Deficiencies 2
Rating Cycle 1 Health Deficiency Score 140
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 140
Rating Cycle 2 Standard Health Survey Date 2019-03-01
Rating Cycle 2 Total Number of Health Deficiencies 9
Rating Cycle 2 Number of Standard Health Deficiencies 8
Rating Cycle 2 Number of Complavarchar Health Deficiencies 1
Rating Cycle 2 Health Deficiency Score 40
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 40
Rating Cycle 3 Standard Health Survey Date 2018-08-10
Rating Cycle 3 Total Number of Health Deficiencies 10
Rating Cycle 3 Number of Standard Health Deficiencies 10
Rating Cycle 3 Number of Complavarchar Health Deficiencies 2
Rating Cycle 3 Health Deficiency Score 56
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 92.667
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 3
Number of Citations from Infection Control Inspections 2
Number of Fines 1
Total Amount of Fines in Dollars 7150.00
Number of Payment Denials 1
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
WELLSPRING HEALTH & REHABILITATION OF CASCADIA

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTCASCADIA IDAHO OPERATIONS LLCOrganization100%since 04/06/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTBODILY, WARRENIndividualNO PERCENTAGE PROVIDEDsince 04/06/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 04/06/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHAMMOND, OWENIndividualNO PERCENTAGE PROVIDEDsince 04/06/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOSAC, NATHANIndividualNO PERCENTAGE PROVIDEDsince 04/06/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMITH, MATTHEWIndividualNO PERCENTAGE PROVIDEDsince 04/06/2017
OPERATIONAL/MANAGERIAL CONTROLBODILY, WARRENIndividualsince 04/06/2017

Location Information

Street Address 2105 12TH AVENUE ROAD
City NAMPA
State ID
Zip Code 83686

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Sunny Ridge · Sunbridge Healthcare LLC 2609 Sunnybrook Drive, Nampa, ID 8368620846772981987-10-075

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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.