Elm Wood Center At Claremont - Claremont Nursing Home
General Information
UPDATEFederal Provider Number
305041
Provider Name
ELM WOOD CENTER AT CLAREMONT
Provider Address
290 HANOVER STREET
CLAREMONT, NH 3743
CLAREMONT, NH 3743
Provider Phone Number
(603) 542-2606
Provider SSA County
90
Provider County Name
Sullivan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
290 HANOVER STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.61591
Reported LPN Staffing Hours per Resident per Day
0.69924
Reported RN Staffing Hours per Resident per Day
0.27803
Reported Licensed Staffing Hours per Resident per Day
0.97727
Reported Total Nurse Staffing Hours per Resident per Day
2.59318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08636
Expected CNA Staffing Hours per Resident per Day
2.31443
Expected LPN Staffing Hours per Resident per Day
0.63420
Expected RN Staffing Hours per Resident per Day
1.15926
Expected Total Nurse Staffing Hours per Resident per Day
4.10789
Adjusted CNA Staffing Hours per Resident per Day
1.71315
Adjusted LPN Staffing Hours per Resident per Day
0.91511
Adjusted RN Staffing Hours per Resident per Day
0.17920
Adjusted Total Nurse Staffing Hours per Resident per Day
2.54458
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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