Edgewood Centre (the) - Portsmouth Nursing Home
General Information
UPDATEFederal Provider Number
305022
Provider Name
EDGEWOOD CENTRE (THE)
Provider Address
928 SOUTH STREET
PORTSMOUTH, NH 3801
PORTSMOUTH, NH 3801
Provider Phone Number
(603) 436-0099
Provider SSA County
70
Provider County Name
Rockingham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDGEWOOD MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1972-06-13
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
4
Health Inspection Rating Footnote
QM Rating
3
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
3.47623
Reported LPN Staffing Hours per Resident per Day
0.46516
Reported RN Staffing Hours per Resident per Day
1.38361
Reported Licensed Staffing Hours per Resident per Day
1.84877
Reported Total Nurse Staffing Hours per Resident per Day
5.32500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03975
Expected CNA Staffing Hours per Resident per Day
2.64165
Expected LPN Staffing Hours per Resident per Day
0.63713
Expected RN Staffing Hours per Resident per Day
0.90823
Expected Total Nurse Staffing Hours per Resident per Day
4.18700
Adjusted CNA Staffing Hours per Resident per Day
3.22890
Adjusted LPN Staffing Hours per Resident per Day
0.60597
Adjusted RN Staffing Hours per Resident per Day
1.13830
Adjusted Total Nurse Staffing Hours per Resident per Day
5.12647
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
2014-10-10
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
2013-10-31
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
1
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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