Maple Leaf Health Care Center - Manchester Nursing Home
General Information
UPDATEFederal Provider Number
305030
Provider Name
MAPLE LEAF HEALTH CARE CENTER
Provider Address
198 PEARL STREET
MANCHESTER, NH 3104
MANCHESTER, NH 3104
Provider Phone Number
(603) 669-1660
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEARL STREET HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1975-02-18
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
5
QM Rating Footnote
Staffing Rating
3
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
2.26343
Reported LPN Staffing Hours per Resident per Day
0.46296
Reported RN Staffing Hours per Resident per Day
0.83056
Reported Licensed Staffing Hours per Resident per Day
1.29352
Reported Total Nurse Staffing Hours per Resident per Day
3.55695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06296
Expected CNA Staffing Hours per Resident per Day
2.51030
Expected LPN Staffing Hours per Resident per Day
0.57374
Expected RN Staffing Hours per Resident per Day
0.85550
Expected Total Nurse Staffing Hours per Resident per Day
3.93954
Adjusted CNA Staffing Hours per Resident per Day
2.21239
Adjusted LPN Staffing Hours per Resident per Day
0.66974
Adjusted RN Staffing Hours per Resident per Day
0.72541
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63943
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
4
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.00000
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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