Charlesgate Nursing Center - Providence Nursing Home
General Information
UPDATEFederal Provider Number
415052
Provider Name
CHARLESGATE NURSING CENTER
Provider Address
100 RANDALL STREET
PROVIDENCE, RI 2904
PROVIDENCE, RI 2904
Provider Phone Number
(401) 861-5858
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
140
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHARLESGATE NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1977-08-21
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.58063
Reported LPN Staffing Hours per Resident per Day
0.38198
Reported RN Staffing Hours per Resident per Day
0.84144
Reported Licensed Staffing Hours per Resident per Day
1.22342
Reported Total Nurse Staffing Hours per Resident per Day
3.80405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05135
Expected CNA Staffing Hours per Resident per Day
2.53737
Expected LPN Staffing Hours per Resident per Day
0.68220
Expected RN Staffing Hours per Resident per Day
1.12375
Expected Total Nurse Staffing Hours per Resident per Day
4.34332
Adjusted CNA Staffing Hours per Resident per Day
2.49554
Adjusted LPN Staffing Hours per Resident per Day
0.46473
Adjusted RN Staffing Hours per Resident per Day
0.55949
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53042
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
2015-02-10
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
9
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
202
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
202
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
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
93500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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