Menig Extended Care - Randolph Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
475058
Provider Name
MENIG EXTENDED CARE
Provider Address
44 SOUTH MAIN STREET
RANDOLPH, VT 5060
RANDOLPH, VT 5060
Provider Phone Number
(802) 728-2125
Provider SSA County
80
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GIFFORD MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
2001-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.06071
Reported LPN Staffing Hours per Resident per Day
0.99821
Reported RN Staffing Hours per Resident per Day
0.88929
Reported Licensed Staffing Hours per Resident per Day
1.88750
Reported Total Nurse Staffing Hours per Resident per Day
4.94821
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01071
Expected CNA Staffing Hours per Resident per Day
2.58321
Expected LPN Staffing Hours per Resident per Day
0.52268
Expected RN Staffing Hours per Resident per Day
0.71536
Expected Total Nurse Staffing Hours per Resident per Day
3.82125
Adjusted CNA Staffing Hours per Resident per Day
2.90726
Adjusted LPN Staffing Hours per Resident per Day
1.58513
Adjusted RN Staffing Hours per Resident per Day
0.92888
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21969
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-31
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
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
2014-05-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
12
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
15.33300
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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