Dover Center For Health & Rehabilitation - Dover Nursing Home
General Information
UPDATEFederal Provider Number
305018
Provider Name
DOVER CENTER FOR HEALTH & REHABILITATION
Provider Address
307 PLAZA DRIVE
DOVER, NH 3820
DOVER, NH 3820
Provider Phone Number
(603) 742-2676
Provider SSA County
80
Provider County Name
Strafford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VK DOVER LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-09
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.73632
Reported LPN Staffing Hours per Resident per Day
0.61579
Reported RN Staffing Hours per Resident per Day
0.81158
Reported Licensed Staffing Hours per Resident per Day
1.42737
Reported Total Nurse Staffing Hours per Resident per Day
3.16369
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12789
Expected CNA Staffing Hours per Resident per Day
2.54105
Expected LPN Staffing Hours per Resident per Day
0.71609
Expected RN Staffing Hours per Resident per Day
1.26981
Expected Total Nurse Staffing Hours per Resident per Day
4.52695
Adjusted CNA Staffing Hours per Resident per Day
1.67663
Adjusted LPN Staffing Hours per Resident per Day
0.71374
Adjusted RN Staffing Hours per Resident per Day
0.47756
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81702
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-27
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
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
3357
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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