Oak Grove Center - Waterville Nursing Home
General Information
UPDATEFederal Provider Number
205091
Provider Name
OAK GROVE CENTER
Provider Address
27 COOL ST
WATERVILLE, ME 4901
WATERVILLE, ME 4901
Provider Phone Number
(207) 873-0721
Provider SSA County
50
Provider County Name
Kennebec
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERVILLE SNF OPERATIONS, LLC
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
3
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
2.72588
Reported LPN Staffing Hours per Resident per Day
0.42000
Reported RN Staffing Hours per Resident per Day
1.12588
Reported Licensed Staffing Hours per Resident per Day
1.54588
Reported Total Nurse Staffing Hours per Resident per Day
4.27176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18176
Expected CNA Staffing Hours per Resident per Day
2.68374
Expected LPN Staffing Hours per Resident per Day
0.64811
Expected RN Staffing Hours per Resident per Day
1.08469
Expected Total Nurse Staffing Hours per Resident per Day
4.41653
Adjusted CNA Staffing Hours per Resident per Day
2.49223
Adjusted LPN Staffing Hours per Resident per Day
0.53787
Adjusted RN Staffing Hours per Resident per Day
0.77558
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89877
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
3
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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