Immanuel Skilled Care Center
185 Crestline Ave, Kalispell, MT 59901


Immanuel Skilled Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 275129. The address is 185 Crestline Ave, Kalispell, MT 59901. The zip code is 59901. The phone number is 4067529622.


Immanuel Skilled Care Center · 185 Crestline Ave, Kalispell, MT 59901

Federal Provider Number 275129
Provider Name IMMANUEL SKILLED CARE CENTER
Address 185 CRESTLINE AVE
KALISPELL, MT 59901
Phone Number 4067529622
SSA County Code 140
County Name Flathead
Ownership Type Non profit - Church related
Certified Beds 155
Certified Beds Residents 93
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name IMMANUEL LUTHERAN CORPORATION
Date First Approved to Provide Medicare Medicaid Services 09/01/1989
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.42204
Reported LPN Staffing Hours per Resident per Day 0.76398
Reported RN Staffing Hours per Resident per Day 0.65753
Reported Licensed Staffing Hours per Resident per Day 1.42151
Reported Total Nurse Staffing Hours per Resident per Day 3.84355
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17097
Expected CNA Staffing Hours per Resident per Day 2.4212
Expected LPN Staffing Hours per Resident per Day 0.59642
Expected RN Staffing Hours per Resident per Day 0.8845
Expected Total Nurse Staffing Hours per Resident per Day 3.90213
Adjusted CNA Staffing Hours per Resident per Day 2.45455
Adjusted LPN Staffing Hours per Resident per Day 1.06318
Adjusted RN Staffing Hours per Resident per Day 0.55546
Adjusted Total Nurse Staffing Hours per Resident per Day 3.97039
Cycle 1 Total Number of Health Deficiencies 21
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 9
Cycle 1 Health Deficiency Score 152
Cycle 1 Standard Survey Health Date 10/20/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 152
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 07/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 14
Cycle 3 Number of Standard Health Deficiencies 14
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 88
Cycle 3 Standard Health Survey Date 08/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 88
Total Weighted Health Survey Score 98.667
Number of Substantiated Complaints 8
Number of Fines 1
Total Amount of Fines in Dollars $37266.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Immanuel Skilled Care Center

Owner Name Role Association Date
AASHEIM, GLEN (Individual) DIRECTOR since 10/05/2014
AASHEIM, GLEN (Individual) MANAGING EMPLOYEE since 10/03/2014
ADNEY, JOSEPH (Individual) OFFICER since 10/05/2014
CONNER, MICHAEL (Individual) DIRECTOR since 10/05/2014
CONNER, MICHAEL (Individual) MANAGING EMPLOYEE since 10/03/2014
CONNERS, LINDA (Individual) DIRECTOR since 10/05/2014
CONNERS, LINDA (Individual) MANAGING EMPLOYEE since 10/03/2014
CRONK, JASON (Individual) MANAGING EMPLOYEE since 05/05/2013
DAWSON, ANTHONY (Individual) DIRECTOR since 03/10/2010
DAWSON, ANTHONY (Individual) MANAGING EMPLOYEE since 10/03/2014
HANOON, LEONA (Individual) DIRECTOR since 10/05/2014
HANOON, LEONA (Individual) MANAGING EMPLOYEE since 10/03/2014
JENKS, JAMES (Individual) OFFICER since 10/05/2014
JOHNS, DANIEL (Individual) DIRECTOR since 10/05/2014
JOHNS, DANIEL (Individual) MANAGING EMPLOYEE since 10/03/2014
KABER, LAWRENCE (Individual) OFFICER since 10/05/2014
LUND, GEORGE (Individual) DIRECTOR since 10/05/2014
LUND, GEORGE (Individual) MANAGING EMPLOYEE since 10/03/2014
MCDANIEL, DALE (Individual) MANAGING EMPLOYEE since 03/12/2010
PHILLIPS, LYLE (Individual) DIRECTOR since 10/05/2014
PHILLIPS, LYLE (Individual) MANAGING EMPLOYEE since 10/03/2014
SCHOTTELKORB, WILLIAM (Individual) DIRECTOR since 10/05/2014
SCHOTTELKORB, WILLIAM (Individual) MANAGING EMPLOYEE since 10/03/2014
STAHLBERG, STEVEN (Individual) DIRECTOR since 10/05/2014
STAHLBERG, STEVEN (Individual) MANAGING EMPLOYEE since 10/03/2014

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