Caribou Memorial Living Center
Caribou Memorial Living Center Information
| Facility Name | Caribou Memorial Living Center |
| Location | 300 South Third West, Soda Springs, ID 83276 |
| County (SSA Code) | Caribou (140) |
| Phone Number | 208-547-3341 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 30 |
| Average Number of Residents | 22.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Resident |
| Provider Business Name | CARIBOU MEMORIAL HOSPITAL |
| Ownership Type | Government - County |
| Date First Approved | 1975-08-21 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 5.22416 |
| Reported LPN Staffing Hours per Resident per Day | 0.56281 |
| Reported RN Staffing - Hours per Resident per Day | 1.14433 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.70714 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.93131 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.29743 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64725 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28043 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.22511 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.85196 |
| Total Weighted Health Survey Score for three cycles | 25.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-14 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-09-07 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-05-27 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |