Briarcliffe Manor - Johnston Nursing Home
General Information
UPDATEFederal Provider Number
415012
Provider Name
BRIARCLIFFE MANOR
Provider Address
49 OLD POCASSET ROAD
JOHNSTON, RI 2919
JOHNSTON, RI 2919
Provider Phone Number
(401) 944-2450
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL HOMES OF RHODE ISLAND INC
Date First Approved to Provide Medicare and Medicaid services
1967-02-06
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
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
3.00966
Reported LPN Staffing Hours per Resident per Day
0.42269
Reported RN Staffing Hours per Resident per Day
0.83235
Reported Licensed Staffing Hours per Resident per Day
1.25504
Reported Total Nurse Staffing Hours per Resident per Day
4.26470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04454
Expected CNA Staffing Hours per Resident per Day
2.47246
Expected LPN Staffing Hours per Resident per Day
0.57510
Expected RN Staffing Hours per Resident per Day
0.94999
Expected Total Nurse Staffing Hours per Resident per Day
3.99755
Adjusted CNA Staffing Hours per Resident per Day
2.98683
Adjusted LPN Staffing Hours per Resident per Day
0.61004
Adjusted RN Staffing Hours per Resident per Day
0.65467
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30028
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
2014-12-22
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-11-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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