Mid Coast Senior Health Center - Brunswick Nursing Home
General Information
UPDATEFederal Provider Number
205163
Provider Name
MID COAST SENIOR HEALTH CENTER
Provider Address
58 BARIBEAU DRIVE
BRUNSWICK, ME 4011
BRUNSWICK, ME 4011
Provider Phone Number
(207) 373-3600
Provider SSA County
20
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDCOAST GERIATRIC SERVICES CORP
Date First Approved to Provide Medicare and Medicaid services
1974-01-09
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
2
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
3.22361
Reported LPN Staffing Hours per Resident per Day
0.03194
Reported RN Staffing Hours per Resident per Day
2.51528
Reported Licensed Staffing Hours per Resident per Day
2.54722
Reported Total Nurse Staffing Hours per Resident per Day
5.77083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.44861
Expected CNA Staffing Hours per Resident per Day
2.49376
Expected LPN Staffing Hours per Resident per Day
0.61420
Expected RN Staffing Hours per Resident per Day
1.03178
Expected Total Nurse Staffing Hours per Resident per Day
4.13973
Adjusted CNA Staffing Hours per Resident per Day
3.17183
Adjusted LPN Staffing Hours per Resident per Day
0.04316
Adjusted RN Staffing Hours per Resident per Day
1.82153
Adjusted Total Nurse Staffing Hours per Resident per Day
5.61912
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
20.00000
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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