Windemere Nursing & Rehab Ctr On Marthas Vineyard - Oak Bluffs Nursing Home
General Information
UPDATEFederal Provider Number
225630
Provider Name
WINDEMERE NURSING & REHAB CTR ON MARTHAS VINEYARD
Provider Address
ONE HOSPITAL ROAD, PO BOX 1747
OAK BLUFFS, MA 2557
OAK BLUFFS, MA 2557
Provider Phone Number
5086966465
Provider SSA County
30
Provider County Name
Dukes
Ownership Type
Non profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WNR INC
Date First Approved to Provide Medicare and Medicaid services
1994-03-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.74052
Reported LPN Staffing Hours per Resident per Day
0.83621
Reported RN Staffing Hours per Resident per Day
0.61638
Reported Licensed Staffing Hours per Resident per Day
1.45259
Reported Total Nurse Staffing Hours per Resident per Day
4.19311
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09828
Expected CNA Staffing Hours per Resident per Day
2.58741
Expected LPN Staffing Hours per Resident per Day
0.58210
Expected RN Staffing Hours per Resident per Day
0.81561
Expected Total Nurse Staffing Hours per Resident per Day
3.98512
Adjusted CNA Staffing Hours per Resident per Day
2.59890
Adjusted LPN Staffing Hours per Resident per Day
1.19233
Adjusted RN Staffing Hours per Resident per Day
0.56468
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24128
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-02-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-11-14
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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