Merrimack County Nursing Home - Boscawen Nursing Home
General Information
UPDATEFederal Provider Number
305056
Provider Name
MERRIMACK COUNTY NURSING HOME
Provider Address
325 DANIEL WEBSTER HIGHWAY
BOSCAWEN, NH 3303
BOSCAWEN, NH 3303
Provider Phone Number
(603) 796-2165
Provider SSA County
60
Provider County Name
Merrimack
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
290
Number of Residents in Certified Beds
271
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MERRIMACK
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
3.29059
Reported LPN Staffing Hours per Resident per Day
0.57749
Reported RN Staffing Hours per Resident per Day
0.83007
Reported Licensed Staffing Hours per Resident per Day
1.40756
Reported Total Nurse Staffing Hours per Resident per Day
4.69815
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03893
Expected CNA Staffing Hours per Resident per Day
2.39833
Expected LPN Staffing Hours per Resident per Day
0.60230
Expected RN Staffing Hours per Resident per Day
0.88092
Expected Total Nurse Staffing Hours per Resident per Day
3.88155
Adjusted CNA Staffing Hours per Resident per Day
3.36656
Adjusted LPN Staffing Hours per Resident per Day
0.79581
Adjusted RN Staffing Hours per Resident per Day
0.70407
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87892
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2014-01-16
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
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.00000
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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