Bel-air Nursing And Rehab Center Inc - Goffstown Nursing Home
General Information
UPDATEFederal Provider Number
305096
Provider Name
BEL-AIR NURSING AND REHAB CENTER INC
Provider Address
29 CENTER STREET
GOFFSTOWN, NH 3045
GOFFSTOWN, NH 3045
Provider Phone Number
(603) 497-4871
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
35
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEL-AIR NURSING AND REHAB CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2003-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.95294
Reported LPN Staffing Hours per Resident per Day
0.53824
Reported RN Staffing Hours per Resident per Day
0.75147
Reported Licensed Staffing Hours per Resident per Day
1.28971
Reported Total Nurse Staffing Hours per Resident per Day
4.24265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12206
Expected CNA Staffing Hours per Resident per Day
2.21728
Expected LPN Staffing Hours per Resident per Day
0.59210
Expected RN Staffing Hours per Resident per Day
0.98128
Expected Total Nurse Staffing Hours per Resident per Day
3.79065
Adjusted CNA Staffing Hours per Resident per Day
3.26781
Adjusted LPN Staffing Hours per Resident per Day
0.75451
Adjusted RN Staffing Hours per Resident per Day
0.57221
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51155
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
2014-03-12
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-18
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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