Hebert Nursing Home - Smithfield Nursing Home
General Information
UPDATEFederal Provider Number
415049
Provider Name
HEBERT NURSING HOME
Provider Address
180 LOG ROAD
SMITHFIELD, RI 2917
SMITHFIELD, RI 2917
Provider Phone Number
(401) 231-7016
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASLC RI II LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
2.58445
Reported LPN Staffing Hours per Resident per Day
0.32941
Reported RN Staffing Hours per Resident per Day
0.81471
Reported Licensed Staffing Hours per Resident per Day
1.14412
Reported Total Nurse Staffing Hours per Resident per Day
3.72857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02647
Expected CNA Staffing Hours per Resident per Day
2.26611
Expected LPN Staffing Hours per Resident per Day
0.59245
Expected RN Staffing Hours per Resident per Day
1.01995
Expected Total Nurse Staffing Hours per Resident per Day
3.87852
Adjusted CNA Staffing Hours per Resident per Day
2.79839
Adjusted LPN Staffing Hours per Resident per Day
0.46149
Adjusted RN Staffing Hours per Resident per Day
0.59684
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87506
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
8
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
32
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.00000
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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