Grafton County Nursing Home - North Haverhill Nursing Home
General Information
UPDATEFederal Provider Number
305053
Provider Name
GRAFTON COUNTY NURSING HOME
Provider Address
3855 DARTMOUTH COLLEGE HIGHWAY
NORTH HAVERHILL, NH 3774
NORTH HAVERHILL, NH 3774
Provider Phone Number
(603) 787-6971
Provider SSA County
40
Provider County Name
Grafton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
135
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAFTON COUNTY
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.60930
Reported LPN Staffing Hours per Resident per Day
0.81395
Reported RN Staffing Hours per Resident per Day
0.84419
Reported Licensed Staffing Hours per Resident per Day
1.65814
Reported Total Nurse Staffing Hours per Resident per Day
5.26744
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04264
Expected CNA Staffing Hours per Resident per Day
2.61816
Expected LPN Staffing Hours per Resident per Day
0.58236
Expected RN Staffing Hours per Resident per Day
0.82935
Expected Total Nurse Staffing Hours per Resident per Day
4.02987
Adjusted CNA Staffing Hours per Resident per Day
3.38258
Adjusted LPN Staffing Hours per Resident per Day
1.16006
Adjusted RN Staffing Hours per Resident per Day
0.76057
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26878
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
8
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-08-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
1
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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