Heritage Hills Nursing & Rehabilitation Center - Smithfield Nursing Home

General Information

UPDATE
Federal Provider Number
415039
Provider Name
HERITAGE HILLS NURSING & REHABILITATION CENTER
Provider Address
80 DOUGLAS PIKE
SMITHFIELD, RI 2917
Provider Phone Number
4012312700
Provider SSA County
30
Provider County Name
Providence
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
80 DOUGLAS PIKE LLC
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09333
Reported LPN Staffing Hours per Resident per Day
0.73611
Reported RN Staffing Hours per Resident per Day
0.58833
Reported Licensed Staffing Hours per Resident per Day
1.32444
Reported Total Nurse Staffing Hours per Resident per Day
3.41777
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01833
Expected CNA Staffing Hours per Resident per Day
2.58548
Expected LPN Staffing Hours per Resident per Day
0.62505
Expected RN Staffing Hours per Resident per Day
1.00604
Expected Total Nurse Staffing Hours per Resident per Day
4.21658
Adjusted CNA Staffing Hours per Resident per Day
1.98663
Adjusted LPN Staffing Hours per Resident per Day
0.97748
Adjusted RN Staffing Hours per Resident per Day
0.43696
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26727
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
2015-04-24
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-05-01
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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