Epsom Healthcare Center - Epsom Nursing Home

General Information

UPDATE
Federal Provider Number
305080
Provider Name
EPSOM HEALTHCARE CENTER
Provider Address
901 SUNCOOK VALLEY HIGHWAY
EPSOM, NH 3234
Provider Phone Number
(603) 736-4772
Provider SSA County
60
Provider County Name
Merrimack
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1997-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.27732
Reported LPN Staffing Hours per Resident per Day
0.30876
Reported RN Staffing Hours per Resident per Day
0.86598
Reported Licensed Staffing Hours per Resident per Day
1.17474
Reported Total Nurse Staffing Hours per Resident per Day
3.45206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07784
Expected CNA Staffing Hours per Resident per Day
2.36211
Expected LPN Staffing Hours per Resident per Day
0.59250
Expected RN Staffing Hours per Resident per Day
0.86047
Expected Total Nurse Staffing Hours per Resident per Day
3.81508
Adjusted CNA Staffing Hours per Resident per Day
2.36562
Adjusted LPN Staffing Hours per Resident per Day
0.43253
Adjusted RN Staffing Hours per Resident per Day
0.75199
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64735
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
2014-08-06
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
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
2013-07-24
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.00000
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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