Friendly Home Inc, The - Woonsocket Nursing Home
General Information
UPDATEFederal Provider Number
415044
Provider Name
FRIENDLY HOME INC, THE
Provider Address
303 RHODES AVENUE
WOONSOCKET, RI 2895
WOONSOCKET, RI 2895
Provider Phone Number
(401) 769-7220
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDLY HOME INC
Date First Approved to Provide Medicare and Medicaid services
1979-06-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78589
Reported LPN Staffing Hours per Resident per Day
0.50524
Reported RN Staffing Hours per Resident per Day
0.54315
Reported Licensed Staffing Hours per Resident per Day
1.04839
Reported Total Nurse Staffing Hours per Resident per Day
3.83428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05524
Expected CNA Staffing Hours per Resident per Day
2.45910
Expected LPN Staffing Hours per Resident per Day
0.57535
Expected RN Staffing Hours per Resident per Day
0.86632
Expected Total Nurse Staffing Hours per Resident per Day
3.90077
Adjusted CNA Staffing Hours per Resident per Day
2.77977
Adjusted LPN Staffing Hours per Resident per Day
0.72886
Adjusted RN Staffing Hours per Resident per Day
0.46847
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96220
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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