Mountain View Nursing Home - Ossipee Nursing Home
General Information
UPDATEFederal Provider Number
305087
Provider Name
MOUNTAIN VIEW NURSING HOME
Provider Address
93 WATER VILLAGE ROAD
OSSIPEE, NH 3864
OSSIPEE, NH 3864
Provider Phone Number
(603) 539-7511
Provider SSA County
10
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
103
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.37304
Reported LPN Staffing Hours per Resident per Day
1.01618
Reported RN Staffing Hours per Resident per Day
0.57794
Reported Licensed Staffing Hours per Resident per Day
1.59412
Reported Total Nurse Staffing Hours per Resident per Day
5.96716
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04363
Expected CNA Staffing Hours per Resident per Day
2.46600
Expected LPN Staffing Hours per Resident per Day
0.60173
Expected RN Staffing Hours per Resident per Day
0.86700
Expected Total Nurse Staffing Hours per Resident per Day
3.93473
Adjusted CNA Staffing Hours per Resident per Day
4.35123
Adjusted LPN Staffing Hours per Resident per Day
1.40168
Adjusted RN Staffing Hours per Resident per Day
0.49808
Adjusted Total Nurse Staffing Hours per Resident per Day
6.11301
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
0
Cycle 2 Standard Health Survey Date
2013-08-22
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
1
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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