Orchard Park Rehab & Living - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
205168
Provider Name
ORCHARD PARK REHAB & LIVING
Provider Address
107 ORCHARD ST
FARMINGTON, ME 4938
FARMINGTON, ME 4938
Provider Phone Number
(207) 778-4416
Provider SSA County
30
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH COUNTRY ASSOCIATES, INC
Date First Approved to Provide Medicare and Medicaid services
1994-03-31
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
3.40833
Reported LPN Staffing Hours per Resident per Day
0.37167
Reported RN Staffing Hours per Resident per Day
1.01500
Reported Licensed Staffing Hours per Resident per Day
1.38667
Reported Total Nurse Staffing Hours per Resident per Day
4.79500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10500
Expected CNA Staffing Hours per Resident per Day
2.64840
Expected LPN Staffing Hours per Resident per Day
0.55256
Expected RN Staffing Hours per Resident per Day
0.76677
Expected Total Nurse Staffing Hours per Resident per Day
3.96773
Adjusted CNA Staffing Hours per Resident per Day
3.15776
Adjusted LPN Staffing Hours per Resident per Day
0.55829
Adjusted RN Staffing Hours per Resident per Day
0.98909
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87134
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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