Elmhurst Extended Care Facility - Providence Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
415084
Provider Name
ELMHURST EXTENDED CARE FACILITY
Provider Address
50 MAUDE STREET
PROVIDENCE, RI 2908
PROVIDENCE, RI 2908
Provider Phone Number
(401) 456-2600
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
206
Number of Residents in Certified Beds
199
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROSPECT CHARTERCARE ELMHURST, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.72940
Reported LPN Staffing Hours per Resident per Day
0.29497
Reported RN Staffing Hours per Resident per Day
0.77638
Reported Licensed Staffing Hours per Resident per Day
1.07136
Reported Total Nurse Staffing Hours per Resident per Day
3.80075
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08794
Expected CNA Staffing Hours per Resident per Day
2.55347
Expected LPN Staffing Hours per Resident per Day
0.62943
Expected RN Staffing Hours per Resident per Day
1.04485
Expected Total Nurse Staffing Hours per Resident per Day
4.22775
Adjusted CNA Staffing Hours per Resident per Day
2.62275
Adjusted LPN Staffing Hours per Resident per Day
0.38896
Adjusted RN Staffing Hours per Resident per Day
0.55521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62378
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
2015-04-03
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
7800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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