Coastal Manor - Yarmouth Nursing Home
General Information
UPDATEFederal Provider Number
205157
Provider Name
COASTAL MANOR
Provider Address
PO BOX 429
YARMOUTH, ME 4096
YARMOUTH, ME 4096
Provider Phone Number
(207) 846-5013
Provider SSA County
20
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88158
Reported LPN Staffing Hours per Resident per Day
0.33026
Reported RN Staffing Hours per Resident per Day
0.51184
Reported Licensed Staffing Hours per Resident per Day
0.84211
Reported Total Nurse Staffing Hours per Resident per Day
3.72368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05658
Expected CNA Staffing Hours per Resident per Day
2.69284
Expected LPN Staffing Hours per Resident per Day
0.55122
Expected RN Staffing Hours per Resident per Day
0.78668
Expected Total Nurse Staffing Hours per Resident per Day
4.03074
Adjusted CNA Staffing Hours per Resident per Day
2.62568
Adjusted LPN Staffing Hours per Resident per Day
0.49729
Adjusted RN Staffing Hours per Resident per Day
0.48615
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72382
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-08
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
28.66700
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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