Chestnut Terrace Nursing & Rehabilitation Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
415007
Provider Name
CHESTNUT TERRACE NURSING & REHABILITATION CENTER
Provider Address
100 WAMPANOAG TRAIL
RIVERSIDE, RI 2915
RIVERSIDE, RI 2915
Provider Phone Number
4014384275
Provider SSA County
30
Provider County Name
Providence
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
100 WAMPANOAG TRAIL OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.48860
Reported LPN Staffing Hours per Resident per Day
0.43246
Reported RN Staffing Hours per Resident per Day
1.07895
Reported Licensed Staffing Hours per Resident per Day
1.51140
Reported Total Nurse Staffing Hours per Resident per Day
4.00001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02632
Expected CNA Staffing Hours per Resident per Day
2.13139
Expected LPN Staffing Hours per Resident per Day
0.56928
Expected RN Staffing Hours per Resident per Day
0.86953
Expected Total Nurse Staffing Hours per Resident per Day
3.57019
Adjusted CNA Staffing Hours per Resident per Day
2.86493
Adjusted LPN Staffing Hours per Resident per Day
0.63052
Adjusted RN Staffing Hours per Resident per Day
0.92716
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51618
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-02
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
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
2013-11-07
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
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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EAST PROVIDENCE RI 2914 | 1.9 miles away
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