Gorham House - Gorham Nursing Home

General Information

UPDATE
Federal Provider Number
205166
Provider Name
GORHAM HOUSE
Provider Address
50 NEW PORTLAND RD
GORHAM, ME 4038
Provider Phone Number
2078395757
Provider SSA County
20
Provider County Name
Cumberland
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GORHAM HEALTH CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.14926
Reported LPN Staffing Hours per Resident per Day
0.29265
Reported RN Staffing Hours per Resident per Day
1.12426
Reported Licensed Staffing Hours per Resident per Day
1.41691
Reported Total Nurse Staffing Hours per Resident per Day
4.56617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07059
Expected CNA Staffing Hours per Resident per Day
2.73230
Expected LPN Staffing Hours per Resident per Day
0.65832
Expected RN Staffing Hours per Resident per Day
0.96832
Expected Total Nurse Staffing Hours per Resident per Day
4.35894
Adjusted CNA Staffing Hours per Resident per Day
2.82815
Adjusted LPN Staffing Hours per Resident per Day
0.36897
Adjusted RN Staffing Hours per Resident per Day
0.86753
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22254
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-09
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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