Harris Hill Center, Genesis Healthcare - Concord Nursing Home
General Information
UPDATEFederal Provider Number
305078
Provider Name
HARRIS HILL CENTER, GENESIS HEALTHCARE
Provider Address
20 MAITLAND STREET
CONCORD, NH 3301
CONCORD, NH 3301
Provider Phone Number
(603) 224-1319
Provider SSA County
60
Provider County Name
Merrimack
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
20 MAITLAND STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.45513
Reported LPN Staffing Hours per Resident per Day
0.64423
Reported RN Staffing Hours per Resident per Day
0.86282
Reported Licensed Staffing Hours per Resident per Day
1.50705
Reported Total Nurse Staffing Hours per Resident per Day
3.96218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09551
Expected CNA Staffing Hours per Resident per Day
2.42399
Expected LPN Staffing Hours per Resident per Day
0.61485
Expected RN Staffing Hours per Resident per Day
0.99593
Expected Total Nurse Staffing Hours per Resident per Day
4.03477
Adjusted CNA Staffing Hours per Resident per Day
2.48523
Adjusted LPN Staffing Hours per Resident per Day
0.86966
Adjusted RN Staffing Hours per Resident per Day
0.64733
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95838
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
8
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
24
Cycle 3 Standard Health Survey Date
2013-02-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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