Helen Porter Healthcare & Rehab - Middlebury Nursing Home
General Information
UPDATEFederal Provider Number
475017
Provider Name
HELEN PORTER HEALTHCARE & REHAB
Provider Address
30 PORTER DRIVE
MIDDLEBURY, VT 5753
MIDDLEBURY, VT 5753
Provider Phone Number
(802) 388-4001
Provider SSA County
0
Provider County Name
Addison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELEN PORTER NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-06-26
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
3.03564
Reported LPN Staffing Hours per Resident per Day
0.61277
Reported RN Staffing Hours per Resident per Day
1.01064
Reported Licensed Staffing Hours per Resident per Day
1.62340
Reported Total Nurse Staffing Hours per Resident per Day
4.65905
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05851
Expected CNA Staffing Hours per Resident per Day
2.78767
Expected LPN Staffing Hours per Resident per Day
0.72271
Expected RN Staffing Hours per Resident per Day
1.08762
Expected Total Nurse Staffing Hours per Resident per Day
4.59800
Adjusted CNA Staffing Hours per Resident per Day
2.67196
Adjusted LPN Staffing Hours per Resident per Day
0.70374
Adjusted RN Staffing Hours per Resident per Day
0.69432
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08442
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
68
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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