John Clarke Retirement Ctr, The - Middletown Nursing Home

General Information

UPDATE
Federal Provider Number
415076
Provider Name
JOHN CLARKE RETIREMENT CTR, THE
Provider Address
600 VALLEY ROAD
MIDDLETOWN, RI 2842
Provider Phone Number
4018460743
Provider SSA County
20
Provider County Name
Newport
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHN CLARKE RETIREMENT CENTER
Date First Approved to Provide Medicare and Medicaid services
1982-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.69018
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.12589
Reported Licensed Staffing Hours per Resident per Day
1.12589
Reported Total Nurse Staffing Hours per Resident per Day
3.81607
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10179
Expected CNA Staffing Hours per Resident per Day
2.29632
Expected LPN Staffing Hours per Resident per Day
0.61981
Expected RN Staffing Hours per Resident per Day
1.09328
Expected Total Nurse Staffing Hours per Resident per Day
4.00941
Adjusted CNA Staffing Hours per Resident per Day
2.87455
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.76949
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83652
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
2014-07-03
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
0
Cycle 2 Standard Health Survey Date
2013-04-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
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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