Coos County Nursing Home - Berlin Nursing Home
General Information
UPDATEFederal Provider Number
300000000000000000000000000000
Provider Name
COOS COUNTY NURSING HOME
Provider Address
364 CATES HILL RD PO BOX 416
BERLIN, NH 3570
BERLIN, NH 3570
Provider Phone Number
6037522343
Provider SSA County
30
Provider County Name
Coos
Ownership Type
Government - County
Number of Certified Beds
100
Number of Residents in Certified Beds
94
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.83138
Reported LPN Staffing Hours per Resident per Day
0.29840
Reported RN Staffing Hours per Resident per Day
1.42660
Reported Licensed Staffing Hours per Resident per Day
1.72500
Reported Total Nurse Staffing Hours per Resident per Day
5.55638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01915
Expected CNA Staffing Hours per Resident per Day
2.53068
Expected LPN Staffing Hours per Resident per Day
0.59381
Expected RN Staffing Hours per Resident per Day
0.79889
Expected Total Nurse Staffing Hours per Resident per Day
3.92338
Adjusted CNA Staffing Hours per Resident per Day
3.71484
Adjusted LPN Staffing Hours per Resident per Day
0.41709
Adjusted RN Staffing Hours per Resident per Day
1.33430
Adjusted Total Nurse Staffing Hours per Resident per Day
5.70866
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
2015-04-16
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
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
2014-01-24
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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
Saint Vincent De Paul Rehabilitation & Nursing Ctr
29 Providence Avenue |
BERLIN NH 3570 | 1 mile away
Country Village Center, Genesis Healthcare
91 Country Village Road |
LANCASTER NH 3584 | 20.4 miles away
Morrison Nursing Home
6 Terrace Street |
WHITEFIELD NH 3598 | 24.2 miles away
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