Hopkins Manor Ltd - North Providence Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
415035
Provider Name
HOPKINS MANOR LTD
Provider Address
610 SMITHFIELD ROAD
NORTH PROVIDENCE, RI 2904
NORTH PROVIDENCE, RI 2904
Provider Phone Number
(401) 353-6300
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
172
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOPKINS MANOR, LTD
Date First Approved to Provide Medicare and Medicaid services
1975-05-01
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
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
2.59099
Reported LPN Staffing Hours per Resident per Day
0.35174
Reported RN Staffing Hours per Resident per Day
0.69215
Reported Licensed Staffing Hours per Resident per Day
1.04390
Reported Total Nurse Staffing Hours per Resident per Day
3.63488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.37670
Expected LPN Staffing Hours per Resident per Day
0.58914
Expected RN Staffing Hours per Resident per Day
0.90681
Expected Total Nurse Staffing Hours per Resident per Day
3.87265
Adjusted CNA Staffing Hours per Resident per Day
2.67493
Adjusted LPN Staffing Hours per Resident per Day
0.49554
Adjusted RN Staffing Hours per Resident per Day
0.57033
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78341
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
2014-01-17
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
8.00000
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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