Narraguagus Bay Health Care Facility - Milbridge Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
205118
Provider Name
NARRAGUAGUS BAY HEALTH CARE FACILITY
Provider Address
3 MAIN STREET
MILBRIDGE, ME 4658
MILBRIDGE, ME 4658
Provider Phone Number
(207) 546-2371
Provider SSA County
140
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NARRAGUAGUS BAY HEALTH CARE
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
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
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
3.34242
Reported LPN Staffing Hours per Resident per Day
0.54697
Reported RN Staffing Hours per Resident per Day
0.75455
Reported Licensed Staffing Hours per Resident per Day
1.30152
Reported Total Nurse Staffing Hours per Resident per Day
4.64394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17273
Expected CNA Staffing Hours per Resident per Day
2.63947
Expected LPN Staffing Hours per Resident per Day
0.54612
Expected RN Staffing Hours per Resident per Day
0.76258
Expected Total Nurse Staffing Hours per Resident per Day
3.94816
Adjusted CNA Staffing Hours per Resident per Day
3.10718
Adjusted LPN Staffing Hours per Resident per Day
0.83129
Adjusted RN Staffing Hours per Resident per Day
0.73934
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74126
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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