Mount Carmel Rehabilitation And Nursing Center - Manchester Nursing Home
General Information
UPDATEFederal Provider Number
305067
Provider Name
MOUNT CARMEL REHABILITATION AND NURSING CENTER
Provider Address
235 MYRTLE STREET
MANCHESTER, NH 3104
MANCHESTER, NH 3104
Provider Phone Number
(603) 627-3811
Provider SSA County
50
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
122
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT CARMEL REHABILITATION AND NURSONG CENTER
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.41217
Reported LPN Staffing Hours per Resident per Day
0.88000
Reported RN Staffing Hours per Resident per Day
0.97043
Reported Licensed Staffing Hours per Resident per Day
1.85043
Reported Total Nurse Staffing Hours per Resident per Day
4.26260
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09957
Expected CNA Staffing Hours per Resident per Day
2.37654
Expected LPN Staffing Hours per Resident per Day
0.61213
Expected RN Staffing Hours per Resident per Day
0.99917
Expected Total Nurse Staffing Hours per Resident per Day
3.98783
Adjusted CNA Staffing Hours per Resident per Day
2.49049
Adjusted LPN Staffing Hours per Resident per Day
1.19321
Adjusted RN Staffing Hours per Resident per Day
0.72571
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30863
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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