Vernon Green Nursing Home - Vernon Nursing Home

General Information

UPDATE
Federal Provider Number
475008
Provider Name
VERNON GREEN NURSING HOME
Provider Address
61 GREENWAY DRIVE
VERNON, VT 5354
Provider Phone Number
8022546041
Provider SSA County
120
Provider County Name
Windham
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VERNON ADVENT CHRISTIAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71271
Reported LPN Staffing Hours per Resident per Day
0.50593
Reported RN Staffing Hours per Resident per Day
0.89237
Reported Licensed Staffing Hours per Resident per Day
1.39831
Reported Total Nurse Staffing Hours per Resident per Day
4.11101
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19407
Expected CNA Staffing Hours per Resident per Day
2.65745
Expected LPN Staffing Hours per Resident per Day
0.65029
Expected RN Staffing Hours per Resident per Day
1.08187
Expected Total Nurse Staffing Hours per Resident per Day
4.38960
Adjusted CNA Staffing Hours per Resident per Day
2.50472
Adjusted LPN Staffing Hours per Resident per Day
0.64575
Adjusted RN Staffing Hours per Resident per Day
0.61632
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77507
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
13
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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