Mount St Joseph Nursing Home - Waterville Nursing Home
General Information
UPDATEFederal Provider Number
205120
Provider Name
MOUNT ST JOSEPH NURSING HOME
Provider Address
7 HIGHWOOD ST
WATERVILLE, ME 4901
WATERVILLE, ME 4901
Provider Phone Number
2078730705
Provider SSA County
50
Provider County Name
Kennebec
Ownership Type
Non profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT ST. JOSEPH
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.65926
Reported LPN Staffing Hours per Resident per Day
0.36157
Reported RN Staffing Hours per Resident per Day
1.26806
Reported Licensed Staffing Hours per Resident per Day
1.62963
Reported Total Nurse Staffing Hours per Resident per Day
5.28889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10648
Expected CNA Staffing Hours per Resident per Day
2.50622
Expected LPN Staffing Hours per Resident per Day
0.59615
Expected RN Staffing Hours per Resident per Day
0.94121
Expected Total Nurse Staffing Hours per Resident per Day
4.04358
Adjusted CNA Staffing Hours per Resident per Day
3.58257
Adjusted LPN Staffing Hours per Resident per Day
0.50340
Adjusted RN Staffing Hours per Resident per Day
1.00667
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27230
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2013-12-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-11
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
16
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
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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