Hillsboro House Nursing Home - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
305092
Provider Name
HILLSBORO HOUSE NURSING HOME
Provider Address
PO BOX 400 67 SCHOOL STREET
HILLSBORO, NH 3244
HILLSBORO, NH 3244
Provider Phone Number
(603) 464-5561
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCHOOL STREET ASSOCIATES
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.98462
Reported LPN Staffing Hours per Resident per Day
0.74808
Reported RN Staffing Hours per Resident per Day
0.69231
Reported Licensed Staffing Hours per Resident per Day
1.44038
Reported Total Nurse Staffing Hours per Resident per Day
4.42501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02692
Expected CNA Staffing Hours per Resident per Day
2.37501
Expected LPN Staffing Hours per Resident per Day
0.51798
Expected RN Staffing Hours per Resident per Day
0.75169
Expected Total Nurse Staffing Hours per Resident per Day
3.64468
Adjusted CNA Staffing Hours per Resident per Day
3.08350
Adjusted LPN Staffing Hours per Resident per Day
1.19871
Adjusted RN Staffing Hours per Resident per Day
0.68818
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89392
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-11-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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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