Crestwood Center - Milford Nursing Home
General Information
UPDATEFederal Provider Number
305061
Provider Name
CRESTWOOD CENTER
Provider Address
40 CROSBY STREET
MILFORD, NH 3055
MILFORD, NH 3055
Provider Phone Number
(603) 673-7061
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE NEW HAMPSHIRE LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.09667
Reported LPN Staffing Hours per Resident per Day
0.80400
Reported RN Staffing Hours per Resident per Day
1.06600
Reported Licensed Staffing Hours per Resident per Day
1.87000
Reported Total Nurse Staffing Hours per Resident per Day
3.96667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18133
Expected CNA Staffing Hours per Resident per Day
2.40988
Expected LPN Staffing Hours per Resident per Day
0.73665
Expected RN Staffing Hours per Resident per Day
1.27298
Expected Total Nurse Staffing Hours per Resident per Day
4.41951
Adjusted CNA Staffing Hours per Resident per Day
2.13480
Adjusted LPN Staffing Hours per Resident per Day
0.90589
Adjusted RN Staffing Hours per Resident per Day
0.62571
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61788
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
2014-02-12
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
2013-03-27
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
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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