Fryeburg Health Care Center - Fryeburg Nursing Home

General Information

UPDATE
Federal Provider Number
205066
Provider Name
FRYEBURG HEALTH CARE CENTER
Provider Address
70 FAIRVIEW DRIVE
FRYEBURG, ME 4037
Provider Phone Number
2079353351
Provider SSA County
80
Provider County Name
Oxford
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRYEBURG HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-04-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91786
Reported LPN Staffing Hours per Resident per Day
0.90893
Reported RN Staffing Hours per Resident per Day
0.18214
Reported Licensed Staffing Hours per Resident per Day
1.09107
Reported Total Nurse Staffing Hours per Resident per Day
3.00893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01607
Expected CNA Staffing Hours per Resident per Day
2.59880
Expected LPN Staffing Hours per Resident per Day
0.55246
Expected RN Staffing Hours per Resident per Day
0.81167
Expected Total Nurse Staffing Hours per Resident per Day
3.96293
Adjusted CNA Staffing Hours per Resident per Day
1.81078
Adjusted LPN Staffing Hours per Resident per Day
1.36555
Adjusted RN Staffing Hours per Resident per Day
0.16767
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06054
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
2014-11-05
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
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
2013-11-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
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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