Greenville Skilled Nursing & Rehabilitation - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
415087
Provider Name
GREENVILLE SKILLED NURSING & REHABILITATION
Provider Address
735 PUTNAM PIKE
GREENVILLE, RI 2828
GREENVILLE, RI 2828
Provider Phone Number
(401) 949-1200
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.69328
Reported LPN Staffing Hours per Resident per Day
0.47983
Reported RN Staffing Hours per Resident per Day
0.73992
Reported Licensed Staffing Hours per Resident per Day
1.21975
Reported Total Nurse Staffing Hours per Resident per Day
3.91303
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08403
Expected CNA Staffing Hours per Resident per Day
2.40738
Expected LPN Staffing Hours per Resident per Day
0.63765
Expected RN Staffing Hours per Resident per Day
1.02401
Expected Total Nurse Staffing Hours per Resident per Day
4.06904
Adjusted CNA Staffing Hours per Resident per Day
2.74511
Adjusted LPN Staffing Hours per Resident per Day
0.62457
Adjusted RN Staffing Hours per Resident per Day
0.53990
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87636
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-10-30
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
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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