Apple Rehab Clipper - Westerly Nursing Home
General Information
UPDATEFederal Provider Number
415120
Provider Name
APPLE REHAB CLIPPER
Provider Address
161 POST ROAD
WESTERLY, RI 2891
WESTERLY, RI 2891
Provider Phone Number
(401) 322-8081
Provider SSA County
50
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE CLIPPER HOME INC
Date First Approved to Provide Medicare and Medicaid services
1996-02-26
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.69727
Reported LPN Staffing Hours per Resident per Day
0.18273
Reported RN Staffing Hours per Resident per Day
1.22455
Reported Licensed Staffing Hours per Resident per Day
1.40727
Reported Total Nurse Staffing Hours per Resident per Day
3.10455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11818
Expected CNA Staffing Hours per Resident per Day
2.32063
Expected LPN Staffing Hours per Resident per Day
0.57411
Expected RN Staffing Hours per Resident per Day
1.00012
Expected Total Nurse Staffing Hours per Resident per Day
3.89486
Adjusted CNA Staffing Hours per Resident per Day
1.79460
Adjusted LPN Staffing Hours per Resident per Day
0.26418
Adjusted RN Staffing Hours per Resident per Day
0.91488
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21299
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-07-19
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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