Roberts Health Centre Inc - North Kingstown Nursing Home
General Information
UPDATEFederal Provider Number
415104
Provider Name
ROBERTS HEALTH CENTRE INC
Provider Address
25 ROBERTS WAY
NORTH KINGSTOWN, RI 2852
NORTH KINGSTOWN, RI 2852
Provider Phone Number
(401) 294-3587
Provider SSA County
50
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
66
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROBERTS HEALTH CENTRE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.57583
Reported LPN Staffing Hours per Resident per Day
0.18083
Reported RN Staffing Hours per Resident per Day
0.96333
Reported Licensed Staffing Hours per Resident per Day
1.14417
Reported Total Nurse Staffing Hours per Resident per Day
3.71999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.25459
Expected LPN Staffing Hours per Resident per Day
0.54187
Expected RN Staffing Hours per Resident per Day
0.88792
Expected Total Nurse Staffing Hours per Resident per Day
3.68437
Adjusted CNA Staffing Hours per Resident per Day
2.80332
Adjusted LPN Staffing Hours per Resident per Day
0.27698
Adjusted RN Staffing Hours per Resident per Day
0.81066
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06987
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-15
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-06-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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