Heritage Rehab & Living Ctr - Winthrop Nursing Home

General Information

UPDATE
Federal Provider Number
205133
Provider Name
HERITAGE REHAB & LIVING CTR
Provider Address
457 OLD LEWISTON RD
WINTHROP, ME 4364
Provider Phone Number
2073779965
Provider SSA County
50
Provider County Name
Kennebec
Ownership Type
For profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH COUNTRY ASSOCIATES, INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.61400
Reported LPN Staffing Hours per Resident per Day
0.91400
Reported RN Staffing Hours per Resident per Day
0.90000
Reported Licensed Staffing Hours per Resident per Day
1.81400
Reported Total Nurse Staffing Hours per Resident per Day
5.42800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06600
Expected CNA Staffing Hours per Resident per Day
2.70235
Expected LPN Staffing Hours per Resident per Day
0.62814
Expected RN Staffing Hours per Resident per Day
1.04554
Expected Total Nurse Staffing Hours per Resident per Day
4.37602
Adjusted CNA Staffing Hours per Resident per Day
3.28147
Adjusted LPN Staffing Hours per Resident per Day
1.20773
Adjusted RN Staffing Hours per Resident per Day
0.64319
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99991
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
2014-03-06
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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