Bethany Home Of Rhode Island - Providence Nursing Home
General Information
UPDATEFederal Provider Number
415096
Provider Name
BETHANY HOME OF RHODE ISLAND
Provider Address
111 SOUTH ANGELL STREET
PROVIDENCE, RI 2906
PROVIDENCE, RI 2906
Provider Phone Number
(401) 831-2870
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
33
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY HOME OF RHODE ISLAND
Date First Approved to Provide Medicare and Medicaid services
1991-05-21
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.22258
Reported LPN Staffing Hours per Resident per Day
0.38710
Reported RN Staffing Hours per Resident per Day
1.46613
Reported Licensed Staffing Hours per Resident per Day
1.85323
Reported Total Nurse Staffing Hours per Resident per Day
5.07581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26290
Expected CNA Staffing Hours per Resident per Day
2.55440
Expected LPN Staffing Hours per Resident per Day
0.64314
Expected RN Staffing Hours per Resident per Day
1.25460
Expected Total Nurse Staffing Hours per Resident per Day
4.45214
Adjusted CNA Staffing Hours per Resident per Day
3.09553
Adjusted LPN Staffing Hours per Resident per Day
0.49957
Adjusted RN Staffing Hours per Resident per Day
0.87318
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59556
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-04-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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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