Freeport Nursing & Rehab Center - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
205092
Provider Name
FREEPORT NURSING & REHAB CENTER
Provider Address
3 EAST ST
FREEPORT, ME 4032
FREEPORT, ME 4032
Provider Phone Number
2078654713
Provider SSA County
20
Provider County Name
Cumberland
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
3.06635
Reported LPN Staffing Hours per Resident per Day
0.31442
Reported RN Staffing Hours per Resident per Day
0.95192
Reported Licensed Staffing Hours per Resident per Day
1.26635
Reported Total Nurse Staffing Hours per Resident per Day
4.33269
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06346
Expected CNA Staffing Hours per Resident per Day
2.67672
Expected LPN Staffing Hours per Resident per Day
0.56901
Expected RN Staffing Hours per Resident per Day
0.84004
Expected Total Nurse Staffing Hours per Resident per Day
4.08577
Adjusted CNA Staffing Hours per Resident per Day
2.81087
Adjusted LPN Staffing Hours per Resident per Day
0.45863
Adjusted RN Staffing Hours per Resident per Day
0.84672
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27451
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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