Belknap County Nursing Home - Laconia Nursing Home
General Information
UPDATEFederal Provider Number
305101
Provider Name
BELKNAP COUNTY NURSING HOME
Provider Address
30 COUNTY DRIVE
LACONIA, NH 3246
LACONIA, NH 3246
Provider Phone Number
(603) 527-5410
Provider SSA County
0
Provider County Name
Belknap
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
94
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELKNAP COUNTY COMMISSIONER
Date First Approved to Provide Medicare and Medicaid services
2008-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.04892
Reported LPN Staffing Hours per Resident per Day
0.81667
Reported RN Staffing Hours per Resident per Day
0.73978
Reported Licensed Staffing Hours per Resident per Day
1.55645
Reported Total Nurse Staffing Hours per Resident per Day
4.60537
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03226
Expected CNA Staffing Hours per Resident per Day
2.40573
Expected LPN Staffing Hours per Resident per Day
0.55130
Expected RN Staffing Hours per Resident per Day
0.83499
Expected Total Nurse Staffing Hours per Resident per Day
3.79203
Adjusted CNA Staffing Hours per Resident per Day
3.10971
Adjusted LPN Staffing Hours per Resident per Day
1.22951
Adjusted RN Staffing Hours per Resident per Day
0.66200
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89547
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
2014-10-09
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
8
Cycle 3 Standard Health Survey Date
2013-01-04
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
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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