Lakewood - Waterville Nursing Home
General Information
UPDATEFederal Provider Number
205138
Provider Name
LAKEWOOD
Provider Address
220 KENNEDY MEMORIAL DR
WATERVILLE, ME 4901
WATERVILLE, ME 4901
Provider Phone Number
(207) 873-5125
Provider SSA County
50
Provider County Name
Kennebec
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTERN MAINE HEALTHCARE SYSTEMS
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
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
4.00674
Reported LPN Staffing Hours per Resident per Day
0.64101
Reported RN Staffing Hours per Resident per Day
1.04551
Reported Licensed Staffing Hours per Resident per Day
1.68652
Reported Total Nurse Staffing Hours per Resident per Day
5.69326
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09382
Expected CNA Staffing Hours per Resident per Day
2.54387
Expected LPN Staffing Hours per Resident per Day
0.58704
Expected RN Staffing Hours per Resident per Day
0.92066
Expected Total Nurse Staffing Hours per Resident per Day
4.05157
Adjusted CNA Staffing Hours per Resident per Day
3.86472
Adjusted LPN Staffing Hours per Resident per Day
0.90631
Adjusted RN Staffing Hours per Resident per Day
0.84852
Adjusted Total Nurse Staffing Hours per Resident per Day
5.66422
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-10
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
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-01-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
38.00000
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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