Hillsborough County Nursing Home - Goffstown Nursing Home
General Information
UPDATEFederal Provider Number
305048
Provider Name
HILLSBOROUGH COUNTY NURSING HOME
Provider Address
400 MAST ROAD
GOFFSTOWN, NH 3045
GOFFSTOWN, NH 3045
Provider Phone Number
(603) 627-5540
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
300
Number of Residents in Certified Beds
276
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF HILLSBOROUGH
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84946
Reported LPN Staffing Hours per Resident per Day
0.47736
Reported RN Staffing Hours per Resident per Day
0.97826
Reported Licensed Staffing Hours per Resident per Day
1.45562
Reported Total Nurse Staffing Hours per Resident per Day
4.30508
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08768
Expected CNA Staffing Hours per Resident per Day
2.44273
Expected LPN Staffing Hours per Resident per Day
0.62948
Expected RN Staffing Hours per Resident per Day
1.01506
Expected Total Nurse Staffing Hours per Resident per Day
4.08726
Adjusted CNA Staffing Hours per Resident per Day
2.86226
Adjusted LPN Staffing Hours per Resident per Day
0.62942
Adjusted RN Staffing Hours per Resident per Day
0.72011
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24571
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
2014-09-11
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
2013-07-18
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-19
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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