Boulder City Hospital Snf
901 Adams Blvd., Boulder City, NV 89005


Boulder City Hospital Snf is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 295046. The address is 901 Adams Blvd., Boulder City, NV 89005. The zip code is 89005. The phone number is 7022934111.


Boulder City Hospital Snf · 901 Adams Blvd., Boulder City, NV 89005

Federal Provider Number 295046
Provider Name BOULDER CITY HOSPITAL SNF
Address 901 ADAMS BLVD.
BOULDER CITY, NV 89005
Phone Number 7022934111
SSA County Code 10
County Name Clark
Ownership Type Non profit - Corporation
Certified Beds 47
Certified Beds Residents 28
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name BOULDER CITY HOSPITAL INC.
Date First Approved to Provide Medicare Medicaid Services 04/19/1989
Continuing Care Retirement Community false
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 4
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.96964
Reported LPN Staffing Hours per Resident per Day 0.6125
Reported RN Staffing Hours per Resident per Day 1.325
Reported Licensed Staffing Hours per Resident per Day 1.9375
Reported Total Nurse Staffing Hours per Resident per Day 4.90714
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00714
Expected CNA Staffing Hours per Resident per Day 2.21022
Expected LPN Staffing Hours per Resident per Day 0.51763
Expected RN Staffing Hours per Resident per Day 0.69226
Expected Total Nurse Staffing Hours per Resident per Day 3.42011
Adjusted CNA Staffing Hours per Resident per Day 3.29679
Adjusted LPN Staffing Hours per Resident per Day 0.98211
Adjusted RN Staffing Hours per Resident per Day 1.43016
Adjusted Total Nurse Staffing Hours per Resident per Day 5.7835
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 09/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 08/21/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 22
Cycle 2 Total Health Score 66
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 11/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 40
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Boulder City Hospital Snf

Owner Name Role Association Date
BELETE, FREZEWED (Individual) MANAGING EMPLOYEE since 01/01/2009
LEWIS, DOUGLAS (Individual) MANAGING EMPLOYEE since 01/01/2015
LEWIS, DOUGLAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2015
MAHER, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/16/2010
MAHER, THOMAS (Individual) DIRECTOR since 04/16/2010

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