Ryder Memorial Hospital Inc - Humacao Nursing Home
General Information
UPDATEFederal Provider Number
405018
Provider Name
RYDER MEMORIAL HOSPITAL INC
Provider Address
355 AVE FONT MARTELO
HUMACAO, PR 792
HUMACAO, PR 792
Provider Phone Number
7878520768
Provider SSA County
340
Provider County Name
Humacao
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
40
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
RYDER MEMORIAL HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1979-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
1.71375
Reported RN Staffing Hours per Resident per Day
2.22125
Reported Licensed Staffing Hours per Resident per Day
3.93500
Reported Total Nurse Staffing Hours per Resident per Day
3.93500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21375
Expected CNA Staffing Hours per Resident per Day
2.16783
Expected LPN Staffing Hours per Resident per Day
0.70806
Expected RN Staffing Hours per Resident per Day
1.81982
Expected Total Nurse Staffing Hours per Resident per Day
4.69570
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
2.00889
Adjusted RN Staffing Hours per Resident per Day
0.91202
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37789
Cycle 1 Total Number of Health Deficiencies
37
Cycle 1 Number of Standard Health Deficiencies
37
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
692
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
692
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
224
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
224
Total Weighted Health Survey Score
395.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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