Island Nursing Home & Care Ctr - Deer Isle Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
205075
Provider Name
ISLAND NURSING HOME & CARE CTR
Provider Address
587 NORTH DEER ISLE RD
DEER ISLE, ME 4627
DEER ISLE, ME 4627
Provider Phone Number
(207) 348-2351
Provider SSA County
40
Provider County Name
Hancock
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ISLAND NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1991-11-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.12105
Reported LPN Staffing Hours per Resident per Day
0.29342
Reported RN Staffing Hours per Resident per Day
1.14079
Reported Licensed Staffing Hours per Resident per Day
1.43421
Reported Total Nurse Staffing Hours per Resident per Day
4.55526
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12763
Expected CNA Staffing Hours per Resident per Day
2.76827
Expected LPN Staffing Hours per Resident per Day
0.57235
Expected RN Staffing Hours per Resident per Day
0.78733
Expected Total Nurse Staffing Hours per Resident per Day
4.12794
Adjusted CNA Staffing Hours per Resident per Day
2.76639
Adjusted LPN Staffing Hours per Resident per Day
0.42551
Adjusted RN Staffing Hours per Resident per Day
1.08265
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44817
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-08-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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