Bannister House Inc - Providence Nursing Home
General Information
UPDATEFederal Provider Number
415038
Provider Name
BANNISTER HOUSE INC
Provider Address
135 DODGE STREET
PROVIDENCE, RI 2907
PROVIDENCE, RI 2907
Provider Phone Number
(401) 521-9600
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
95
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BANNISTER NURSING CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84253
Reported LPN Staffing Hours per Resident per Day
0.29540
Reported RN Staffing Hours per Resident per Day
0.49253
Reported Licensed Staffing Hours per Resident per Day
0.78793
Reported Total Nurse Staffing Hours per Resident per Day
2.63046
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06552
Expected CNA Staffing Hours per Resident per Day
1.85578
Expected LPN Staffing Hours per Resident per Day
0.54119
Expected RN Staffing Hours per Resident per Day
0.76317
Expected Total Nurse Staffing Hours per Resident per Day
3.16015
Adjusted CNA Staffing Hours per Resident per Day
2.43618
Adjusted LPN Staffing Hours per Resident per Day
0.45304
Adjusted RN Staffing Hours per Resident per Day
0.48222
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35526
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
52
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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