Maine Veterans Home - So Paris - South Paris Nursing Home

General Information

UPDATE
Federal Provider Number
205184
Provider Name
MAINE VETERANS HOME - SO PARIS
Provider Address
477 HIGH ST
SOUTH PARIS, ME 4281
Provider Phone Number
2077436300
Provider SSA County
80
Provider County Name
Oxford
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAINE VETERANS' HOME
Date First Approved to Provide Medicare and Medicaid services
1995-07-26
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
5
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
2.80702
Reported LPN Staffing Hours per Resident per Day
0.15000
Reported RN Staffing Hours per Resident per Day
1.60351
Reported Licensed Staffing Hours per Resident per Day
1.75351
Reported Total Nurse Staffing Hours per Resident per Day
4.56053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.65825
Expected LPN Staffing Hours per Resident per Day
0.66258
Expected RN Staffing Hours per Resident per Day
1.10707
Expected Total Nurse Staffing Hours per Resident per Day
4.42790
Adjusted CNA Staffing Hours per Resident per Day
2.59102
Adjusted LPN Staffing Hours per Resident per Day
0.18790
Adjusted RN Staffing Hours per Resident per Day
1.08227
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15164
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
2014-06-26
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
2013-07-26
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
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
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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