Elmwood Health Center - Providence Nursing Home
General Information
UPDATEFederal Provider Number
415072
Provider Name
ELMWOOD HEALTH CENTER
Provider Address
225 ELMWOOD AVENUE
PROVIDENCE, RI 2907
PROVIDENCE, RI 2907
Provider Phone Number
(401) 272-0600
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD HEALTH CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.33333
Reported LPN Staffing Hours per Resident per Day
0.20076
Reported RN Staffing Hours per Resident per Day
0.80985
Reported Licensed Staffing Hours per Resident per Day
1.01061
Reported Total Nurse Staffing Hours per Resident per Day
3.34394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01061
Expected CNA Staffing Hours per Resident per Day
2.35279
Expected LPN Staffing Hours per Resident per Day
0.58976
Expected RN Staffing Hours per Resident per Day
0.88694
Expected Total Nurse Staffing Hours per Resident per Day
3.82950
Adjusted CNA Staffing Hours per Resident per Day
2.43340
Adjusted LPN Staffing Hours per Resident per Day
0.28254
Adjusted RN Staffing Hours per Resident per Day
0.68225
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51980
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
0
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.00000
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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