Clover Manor - Auburn Nursing Home
General Information
UPDATEFederal Provider Number
205063
Provider Name
CLOVER MANOR
Provider Address
440 MINOT AVE
AUBURN, ME 4210
AUBURN, ME 4210
Provider Phone Number
2077843573
Provider SSA County
0
Provider County Name
Androscoggin
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLOVER MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1990-07-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
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
3.08088
Reported LPN Staffing Hours per Resident per Day
0.57794
Reported RN Staffing Hours per Resident per Day
0.71667
Reported Licensed Staffing Hours per Resident per Day
1.29461
Reported Total Nurse Staffing Hours per Resident per Day
4.37549
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06569
Expected CNA Staffing Hours per Resident per Day
2.73715
Expected LPN Staffing Hours per Resident per Day
0.56551
Expected RN Staffing Hours per Resident per Day
0.86886
Expected Total Nurse Staffing Hours per Resident per Day
4.17152
Adjusted CNA Staffing Hours per Resident per Day
2.76183
Adjusted LPN Staffing Hours per Resident per Day
0.84825
Adjusted RN Staffing Hours per Resident per Day
0.61632
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22799
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
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
Nursiong Homes Nearby
Odd Fellows & Rebekahs' Home Of Maine
85 Caron Lane |
AUBURN ME 4210 | 0.4 mile away
St Mary's D'youville Pavilion
102 Campus Ave |
LEWISTON ME 4240 | 2.7 miles away
Russell Park Rehab & Living
158-178 Russell St |
LEWISTON ME 4240 | 2.9 miles away
Montello Manor
540 College St |
LEWISTON ME 4240 | 3.6 miles away
Marshwood Center
33 Roger Street |
LEWISTON ME 4240 | 4.4 miles away
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