Riverside Rest Home - Dover Nursing Home
General Information
UPDATEFederal Provider Number
305047
Provider Name
RIVERSIDE REST HOME
Provider Address
276 COUNTY FARM ROAD
DOVER, NH 3820
DOVER, NH 3820
Provider Phone Number
(603) 742-1348
Provider SSA County
80
Provider County Name
Strafford
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
215
Number of Residents in Certified Beds
210
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF STRAFFORD
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
3.01881
Reported LPN Staffing Hours per Resident per Day
0.58810
Reported RN Staffing Hours per Resident per Day
0.50024
Reported Licensed Staffing Hours per Resident per Day
1.08833
Reported Total Nurse Staffing Hours per Resident per Day
4.10715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04500
Expected CNA Staffing Hours per Resident per Day
2.33456
Expected LPN Staffing Hours per Resident per Day
0.56155
Expected RN Staffing Hours per Resident per Day
0.74551
Expected Total Nurse Staffing Hours per Resident per Day
3.64162
Adjusted CNA Staffing Hours per Resident per Day
3.17288
Adjusted LPN Staffing Hours per Resident per Day
0.86924
Adjusted RN Staffing Hours per Resident per Day
0.50137
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54620
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-24
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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