Forest Hill Manor - Fort Kent Nursing Home

General Information

UPDATE
Federal Provider Number
205176
Provider Name
FOREST HILL MANOR
Provider Address
25 BOLDUC AVE
FORT KENT, ME 4743
Provider Phone Number
2078343915
Provider SSA County
10
Provider County Name
Aroostook
Ownership Type
Non profit - Other
Number of Certified Beds
45
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
NORTHERN MAINE MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
3.44111
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.16333
Reported Licensed Staffing Hours per Resident per Day
1.16333
Reported Total Nurse Staffing Hours per Resident per Day
4.60444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10444
Expected CNA Staffing Hours per Resident per Day
2.74580
Expected LPN Staffing Hours per Resident per Day
0.58265
Expected RN Staffing Hours per Resident per Day
0.80507
Expected Total Nurse Staffing Hours per Resident per Day
4.13352
Adjusted CNA Staffing Hours per Resident per Day
3.07504
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.07970
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49013
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
24
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
4
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
44.66700
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

Nursiong Homes Nearby

St Joseph Nursing Home

426 Us Route 1 | FRENCHVILLE ME 4745 | 14 miles away

High View Manor

517 Riverview St | MADAWASKA ME 4756 | 14.4 miles away

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