Syringa Chalet Nursing Facility
Syringa Chalet Nursing Facility Information
| Facility Name | Syringa Chalet Nursing Facility |
| Location | 700 East Alice Street, Blackfoot, ID 83221 |
| County (SSA Code) | Bingham (50) |
| Phone Number | 208-785-1200 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 29 |
| Average Number of Residents | 28.7 |
| 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 | Legal Business Name Not Available |
| Ownership Type | Government - State |
| Date First Approved | 1990-03-12 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 5.42886 |
| Reported LPN Staffing Hours per Resident per Day | 1.28718 |
| Reported RN Staffing - Hours per Resident per Day | 1.14439 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.43157 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 7.86043 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.67258 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.58788 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27092 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.53138 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 9.89996 |
| Total Weighted Health Survey Score for three cycles | 59.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-23 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 64 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-03 |
| Rating cycle 2 - Health Deficiency Score | 64 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-01-13 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |