Gill Odd Fellows Home - Ludlow Nursing Home
General Information
UPDATEFederal Provider Number
475052
Provider Name
GILL ODD FELLOWS HOME
Provider Address
8 GILL TERRACE
LUDLOW, VT 5149
LUDLOW, VT 5149
Provider Phone Number
(802) 228-4571
Provider SSA County
130
Provider County Name
Windsor
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRUSTEES OF THE GILL ODD FELLOWS HOME OF VERMONT
Date First Approved to Provide Medicare and Medicaid services
1995-05-11
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63500
Reported LPN Staffing Hours per Resident per Day
0.41250
Reported RN Staffing Hours per Resident per Day
0.86375
Reported Licensed Staffing Hours per Resident per Day
1.27625
Reported Total Nurse Staffing Hours per Resident per Day
3.91125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03625
Expected CNA Staffing Hours per Resident per Day
2.43885
Expected LPN Staffing Hours per Resident per Day
0.59607
Expected RN Staffing Hours per Resident per Day
0.99911
Expected Total Nurse Staffing Hours per Resident per Day
4.03402
Adjusted CNA Staffing Hours per Resident per Day
2.65105
Adjusted LPN Staffing Hours per Resident per Day
0.57439
Adjusted RN Staffing Hours per Resident per Day
0.64597
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90823
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
2
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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