Berlin Health & Rehab Ctr - Barre Nursing Home

General Information

UPDATE
Federal Provider Number
475020
Provider Name
BERLIN HEALTH & REHAB CTR
Provider Address
98 HOSPITALITY DRIVE
BARRE, VT 5641
Provider Phone Number
(802) 229-0308
Provider SSA County
110
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERLIN HEALTH AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.28775
Reported LPN Staffing Hours per Resident per Day
0.60245
Reported RN Staffing Hours per Resident per Day
0.56373
Reported Licensed Staffing Hours per Resident per Day
1.16618
Reported Total Nurse Staffing Hours per Resident per Day
3.45393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.50766
Expected LPN Staffing Hours per Resident per Day
0.67535
Expected RN Staffing Hours per Resident per Day
1.09178
Expected Total Nurse Staffing Hours per Resident per Day
4.27479
Adjusted CNA Staffing Hours per Resident per Day
2.23852
Adjusted LPN Staffing Hours per Resident per Day
0.74041
Adjusted RN Staffing Hours per Resident per Day
0.38581
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25687
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-04-23
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
102
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
17
Number of Fines
2
Total Amount of Fines in Dollars
2275
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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