Bear Lake Memorial Skilled Nursing Facility
Bear Lake Memorial Skilled Nursing Facility Information
| Facility Name | Bear Lake Memorial Skilled Nursing Facility |
| Location | 164 South Fifth Street, Montpelier, ID 83254 |
| County (SSA Code) | Bear Lake (30) |
| Phone Number | 208-847-4441 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 36 |
| Average Number of Residents | 33.1 |
| 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 | BEAR LAKE COUNTY MEMORIAL HOSPITAL |
| Ownership Type | Government - County |
| Date First Approved | 1977-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.77426 |
| Reported LPN Staffing Hours per Resident per Day | 0.73072 |
| Reported RN Staffing - Hours per Resident per Day | 0.76005 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.49078 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.26504 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01329 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24214 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67033 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28832 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20079 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.24824 |
| Total Weighted Health Survey Score for three cycles | 84 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-20 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 140 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-26 |
| Rating cycle 2 - Health Deficiency Score | 140 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-07 |
| Rating cycle 3 - Health Deficiency Score | 68 |
| Rating cycle 3 - Total Health Inspection Score | 68 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 28431 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |