Nevada State Veterans Home - Boulder City
100 Veterans Memorial Dr, Boulder City, NV 89005


Nevada State Veterans Home - Boulder City is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 295081. The address is 100 Veterans Memorial Dr, Boulder City, NV 89005. The zip code is 89005. The phone number is 7023326711.


Nevada State Veterans Home - Boulder City · 100 Veterans Memorial Dr, Boulder City, NV 89005

Federal Provider Number 295081
Provider Name NEVADA STATE VETERANS HOME - BOULDER CITY
Address 100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005
Phone Number 7023326711
SSA County Code 10
County Name Clark
Ownership Type Government - State
Certified Beds 180
Certified Beds Residents 173
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name STATE OF NEVADA
Date First Approved to Provide Medicare Medicaid Services 09/24/2002
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.81908
Reported LPN Staffing Hours per Resident per Day 0.94509
Reported RN Staffing Hours per Resident per Day 0.86214
Reported Licensed Staffing Hours per Resident per Day 1.80723
Reported Total Nurse Staffing Hours per Resident per Day 4.62631
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02572
Expected CNA Staffing Hours per Resident per Day 2.37686
Expected LPN Staffing Hours per Resident per Day 0.603
Expected RN Staffing Hours per Resident per Day 0.91721
Expected Total Nurse Staffing Hours per Resident per Day 3.89707
Adjusted CNA Staffing Hours per Resident per Day 2.91021
Adjusted LPN Staffing Hours per Resident per Day 1.30088
Adjusted RN Staffing Hours per Resident per Day 0.70234
Adjusted Total Nurse Staffing Hours per Resident per Day 4.78518
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 12/02/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 01/08/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 12/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 26.667
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Nevada State Veterans Home - Boulder City

Owner Name Role Association Date
BELLINGER, FRANK (Individual) MANAGING EMPLOYEE since 10/17/2011
BELLINGER, FRANK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/17/2011

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