Golden Crest Nursing Centre - North Providence Nursing Home
General Information
UPDATEFederal Provider Number
415029
Provider Name
GOLDEN CREST NURSING CENTRE
Provider Address
100 SMITHFIELD ROAD
NORTH PROVIDENCE, RI 2904
NORTH PROVIDENCE, RI 2904
Provider Phone Number
(401) 353-1710
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEZZELLI NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1969-10-17
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.93511
Reported LPN Staffing Hours per Resident per Day
0.64046
Reported RN Staffing Hours per Resident per Day
0.56527
Reported Licensed Staffing Hours per Resident per Day
1.20573
Reported Total Nurse Staffing Hours per Resident per Day
4.14084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04351
Expected CNA Staffing Hours per Resident per Day
2.37064
Expected LPN Staffing Hours per Resident per Day
0.63735
Expected RN Staffing Hours per Resident per Day
0.93971
Expected Total Nurse Staffing Hours per Resident per Day
3.94769
Adjusted CNA Staffing Hours per Resident per Day
3.03795
Adjusted LPN Staffing Hours per Resident per Day
0.83405
Adjusted RN Staffing Hours per Resident per Day
0.44947
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22812
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
2014-11-24
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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