Coventry Skilled Nursing & Rehabilitation - Coventry Nursing Home
General Information
UPDATEFederal Provider Number
415078
Provider Name
COVENTRY SKILLED NURSING & REHABILITATION
Provider Address
10 WOODLAND DRIVE
COVENTRY, RI 2816
COVENTRY, RI 2816
Provider Phone Number
(401) 826-2000
Provider SSA County
10
Provider County Name
Kent
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
180
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
1983-02-08
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
4
QM Rating Footnote
Staffing Rating
4
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
2.59556
Reported LPN Staffing Hours per Resident per Day
0.32611
Reported RN Staffing Hours per Resident per Day
1.27556
Reported Licensed Staffing Hours per Resident per Day
1.60167
Reported Total Nurse Staffing Hours per Resident per Day
4.19723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07361
Expected CNA Staffing Hours per Resident per Day
2.37457
Expected LPN Staffing Hours per Resident per Day
0.68159
Expected RN Staffing Hours per Resident per Day
1.12766
Expected Total Nurse Staffing Hours per Resident per Day
4.18383
Adjusted CNA Staffing Hours per Resident per Day
2.68205
Adjusted LPN Staffing Hours per Resident per Day
0.39712
Adjusted RN Staffing Hours per Resident per Day
0.84520
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04381
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
2014-10-21
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
28
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
11.33300
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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