Cedar Ridge Center - Skowhegan Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
205060
Provider Name
CEDAR RIDGE CENTER
Provider Address
23 CEDAR RIDGE DRIVE
SKOWHEGAN, ME 4976
SKOWHEGAN, ME 4976
Provider Phone Number
(207) 474-9686
Provider SSA County
120
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKOWHEGAN SNF OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-08
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
2.56918
Reported LPN Staffing Hours per Resident per Day
0.30822
Reported RN Staffing Hours per Resident per Day
1.13973
Reported Licensed Staffing Hours per Resident per Day
1.44795
Reported Total Nurse Staffing Hours per Resident per Day
4.01713
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12329
Expected CNA Staffing Hours per Resident per Day
2.47403
Expected LPN Staffing Hours per Resident per Day
0.68540
Expected RN Staffing Hours per Resident per Day
1.24885
Expected Total Nurse Staffing Hours per Resident per Day
4.40828
Adjusted CNA Staffing Hours per Resident per Day
2.54806
Adjusted LPN Staffing Hours per Resident per Day
0.37325
Adjusted RN Staffing Hours per Resident per Day
0.68191
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67323
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
12
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
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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