Maple Lane Nursing Home - Barton Nursing Home
General Information
UPDATEFederal Provider Number
475042
Provider Name
MAPLE LANE NURSING HOME
Provider Address
60 MAPLE LANE
BARTON, VT 5822
BARTON, VT 5822
Provider Phone Number
(802) 754-8575
Provider SSA County
90
Provider County Name
Orleans
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
71
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINGDOM REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.53043
Reported LPN Staffing Hours per Resident per Day
0.59493
Reported RN Staffing Hours per Resident per Day
0.64203
Reported Licensed Staffing Hours per Resident per Day
1.23696
Reported Total Nurse Staffing Hours per Resident per Day
3.76739
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03696
Expected CNA Staffing Hours per Resident per Day
2.42627
Expected LPN Staffing Hours per Resident per Day
0.56810
Expected RN Staffing Hours per Resident per Day
0.81357
Expected Total Nurse Staffing Hours per Resident per Day
3.80794
Adjusted CNA Staffing Hours per Resident per Day
2.55903
Adjusted LPN Staffing Hours per Resident per Day
0.86920
Adjusted RN Staffing Hours per Resident per Day
0.58965
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98797
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
2013-07-17
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3051
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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