Pines Rehab & Health Ctr - Lyndonville Nursing Home
General Information
UPDATEFederal Provider Number
475044
Provider Name
PINES REHAB & HEALTH CTR
Provider Address
601 RED VILLAGE ROAD
LYNDONVILLE, VT 5851
LYNDONVILLE, VT 5851
Provider Phone Number
(802) 626-3361
Provider SSA County
20
Provider County Name
Caledonia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE KNOLL NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
3.03364
Reported LPN Staffing Hours per Resident per Day
0.57091
Reported RN Staffing Hours per Resident per Day
0.52000
Reported Licensed Staffing Hours per Resident per Day
1.09091
Reported Total Nurse Staffing Hours per Resident per Day
4.12455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05091
Expected CNA Staffing Hours per Resident per Day
2.60525
Expected LPN Staffing Hours per Resident per Day
0.59088
Expected RN Staffing Hours per Resident per Day
0.87636
Expected Total Nurse Staffing Hours per Resident per Day
4.07249
Adjusted CNA Staffing Hours per Resident per Day
2.85717
Adjusted LPN Staffing Hours per Resident per Day
0.80195
Adjusted RN Staffing Hours per Resident per Day
0.44336
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08243
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
8
Cycle 2 Standard Health Survey Date
2014-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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