Market Square Health Care Center, Llc - South Paris Nursing Home

General Information

UPDATE
Federal Provider Number
205076
Provider Name
MARKET SQUARE HEALTH CARE CENTER, LLC
Provider Address
3 MARKET SQUARE
SOUTH PARIS, ME 4281
Provider Phone Number
2077437086
Provider SSA County
80
Provider County Name
Oxford
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARKET SQUARE HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
3.21167
Reported LPN Staffing Hours per Resident per Day
0.39750
Reported RN Staffing Hours per Resident per Day
0.99167
Reported Licensed Staffing Hours per Resident per Day
1.38917
Reported Total Nurse Staffing Hours per Resident per Day
4.60084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14583
Expected CNA Staffing Hours per Resident per Day
2.67928
Expected LPN Staffing Hours per Resident per Day
0.61458
Expected RN Staffing Hours per Resident per Day
0.95245
Expected Total Nurse Staffing Hours per Resident per Day
4.24631
Adjusted CNA Staffing Hours per Resident per Day
2.94127
Adjusted LPN Staffing Hours per Resident per Day
0.53683
Adjusted RN Staffing Hours per Resident per Day
0.77796
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36744
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-20
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-23
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
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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