Glencliff Home For The Elderly - Glencliff Nursing Home
General Information
UPDATEFederal Provider Number
300000000000000000000000000000
Provider Name
GLENCLIFF HOME FOR THE ELDERLY
Provider Address
393 HIGH STREET
GLENCLIFF, NH 3238
GLENCLIFF, NH 3238
Provider Phone Number
6039893111
Provider SSA County
40
Provider County Name
Grafton
Ownership Type
Government - State
Number of Certified Beds
130
Number of Residents in Certified Beds
117
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.88205
Reported LPN Staffing Hours per Resident per Day
0.48419
Reported RN Staffing Hours per Resident per Day
0.78462
Reported Licensed Staffing Hours per Resident per Day
1.26880
Reported Total Nurse Staffing Hours per Resident per Day
4.15086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00385
Expected CNA Staffing Hours per Resident per Day
2.08099
Expected LPN Staffing Hours per Resident per Day
0.55982
Expected RN Staffing Hours per Resident per Day
0.75436
Expected Total Nurse Staffing Hours per Resident per Day
3.39517
Adjusted CNA Staffing Hours per Resident per Day
3.39824
Adjusted LPN Staffing Hours per Resident per Day
0.71787
Adjusted RN Staffing Hours per Resident per Day
0.77717
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92809
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
8
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-10-17
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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