• Financial data for facility cost report period ending 12/31/2021 (HCRIS 1318414 - 2010).

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Identification

Definitions

Name and address: GSS - IDAHO FALLS VILLAGE
###
###, ###  ###
Telephone: ###
Medicare Provider Number: ###
Metro Area (CBSA): ### - ###
County: ### - ###
Certified Beds: ###
Type of Ownership: ###
 

Survey Information

Data are as posted on Nursing Home Compare as of ###. Definitions

Overall Star Rating ###
Health Survey ### — ### — ### deficiencies
Fire Survey ### — ### deficiencies
Staffing Measures ###
RN Hours/Resident/Day ###
LPN/LVN Hours/Resident/Day ###
CNA Hours/Resident/Day ###
PT Hours/Resident/Day ###
Quality Measures ###
Participation ###
Located Within a Hospital? ###

Medicare Information

Last updated ###. Definitions

Administrative Information

Fiscal Year Ending Date: ###
Fiscal Intermediary: ###

Certifications

Component Provider Number NPI Number Date Certified
SNF ### ###

Day and Discharge Statistics

For period ending ###.

  Beds Inpatient Days
  Medicare Medicaid Other Total
SNF ### ### ### ### ###
Total ### ### ### ### ###
    Discharges
    Medicare Medicaid Other Total
SNF ### ### ### ###
Total ### ### ### ###
  Average Length of Stay
Medicare Medicaid Other Total
SNF ### ### ### ###
Total ### ### ### ###

Wage Index Information

Definitions

Direct Care Adj Salaries Paid Hours Avg Hourly
Facility Personnel ### ### ###
Non-physician Contract Labor ### ### ###
Home Office Labor ### ### ###
Wage Related - Other ### ### ###
Total Facility ### ### ###
Contract Labor - Physician ### ### ###
Overhead Adj Salaries Paid Hours Avg Hourly
Employee Benefits ### ### ###
Administrative and General ### ### ###
Plant Oper, Maint, & Repairs ### ### ###
Laundry and Linen Service ### ### ###
Housekeeping ### ### ###
Dietary ### ### ###
Nursing Administration ### ### ###
Central Services & Supply ### ### ###
Pharmacy ### ### ###
Medical Records ### ### ###
Social Service ### ### ###
Other ### ### ###
Total Overhead ### ### ###