Gregory Wing Of St Andrews Village - Boothbay Harbor Nursing Home

General Information

UPDATE
Federal Provider Number
205158
Provider Name
GREGORY WING OF ST ANDREWS VILLAGE
Provider Address
145 EMERY LANE
BOOTHBAY HARBOR, ME 4538
Provider Phone Number
2076336996
Provider SSA County
70
Provider County Name
Lincoln
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LINCOLNHEALTH
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.29828
Reported LPN Staffing Hours per Resident per Day
0.36724
Reported RN Staffing Hours per Resident per Day
1.49655
Reported Licensed Staffing Hours per Resident per Day
1.86379
Reported Total Nurse Staffing Hours per Resident per Day
5.16207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12241
Expected CNA Staffing Hours per Resident per Day
2.64652
Expected LPN Staffing Hours per Resident per Day
0.56988
Expected RN Staffing Hours per Resident per Day
0.89928
Expected Total Nurse Staffing Hours per Resident per Day
4.11568
Adjusted CNA Staffing Hours per Resident per Day
3.05797
Adjusted LPN Staffing Hours per Resident per Day
0.53486
Adjusted RN Staffing Hours per Resident per Day
1.24347
Adjusted Total Nurse Staffing Hours per Resident per Day
5.05573
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-21
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
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

Nursiong Homes Nearby

Cove's Edge

26 Schooner Street | DAMARISCOTTA ME 4543 | 12.2 miles away

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