Hackett Hill Healthcare Center - Manchester Nursing Home
General Information
UPDATEFederal Provider Number
305038
Provider Name
HACKETT HILL HEALTHCARE CENTER
Provider Address
191 HACKETT HILL ROAD
MANCHESTER, NH 3102
MANCHESTER, NH 3102
Provider Phone Number
(603) 668-8161
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
191 HACKETT HILL ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.91532
Reported LPN Staffing Hours per Resident per Day
0.44113
Reported RN Staffing Hours per Resident per Day
1.27581
Reported Licensed Staffing Hours per Resident per Day
1.71694
Reported Total Nurse Staffing Hours per Resident per Day
3.63226
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14435
Expected CNA Staffing Hours per Resident per Day
2.45115
Expected LPN Staffing Hours per Resident per Day
0.68079
Expected RN Staffing Hours per Resident per Day
1.19604
Expected Total Nurse Staffing Hours per Resident per Day
4.32798
Adjusted CNA Staffing Hours per Resident per Day
1.91731
Adjusted LPN Staffing Hours per Resident per Day
0.53781
Adjusted RN Staffing Hours per Resident per Day
0.79703
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38294
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
36
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
29.33300
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
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