North Bay Retirement Living - Smithfield Nursing Home
General Information
UPDATEFederal Provider Number
415086
Provider Name
NORTH BAY RETIREMENT LIVING
Provider Address
171 PLEASANT VIEW AVENUE
SMITHFIELD, RI 2917
SMITHFIELD, RI 2917
Provider Phone Number
(401) 232-5577
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR LIFESTYLE NORTH BAY LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1989-11-21
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.62593
Reported LPN Staffing Hours per Resident per Day
0.10556
Reported RN Staffing Hours per Resident per Day
0.91019
Reported Licensed Staffing Hours per Resident per Day
1.01574
Reported Total Nurse Staffing Hours per Resident per Day
4.64168
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08426
Expected CNA Staffing Hours per Resident per Day
2.60146
Expected LPN Staffing Hours per Resident per Day
0.62737
Expected RN Staffing Hours per Resident per Day
1.05246
Expected Total Nurse Staffing Hours per Resident per Day
4.28129
Adjusted CNA Staffing Hours per Resident per Day
3.41998
Adjusted LPN Staffing Hours per Resident per Day
0.13965
Adjusted RN Staffing Hours per Resident per Day
0.64620
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37022
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
537
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
537
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
16
Cycle 2 Standard Health Survey Date
2013-05-29
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
278.50000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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