Ross Manor - Bangor Nursing Home
General Information
UPDATEFederal Provider Number
205064
Provider Name
ROSS MANOR
Provider Address
758 BROADWAY
BANGOR, ME 4401
BANGOR, ME 4401
Provider Phone Number
2079418400
Provider SSA County
90
Provider County Name
Penobscot
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROSS MANOR ASSOCIATES
Date First Approved to Provide Medicare and Medicaid services
1991-01-28
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
4
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
4.26988
Reported LPN Staffing Hours per Resident per Day
0.36506
Reported RN Staffing Hours per Resident per Day
1.51084
Reported Licensed Staffing Hours per Resident per Day
1.87590
Reported Total Nurse Staffing Hours per Resident per Day
6.14578
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28072
Expected CNA Staffing Hours per Resident per Day
2.51606
Expected LPN Staffing Hours per Resident per Day
0.64741
Expected RN Staffing Hours per Resident per Day
1.18525
Expected Total Nurse Staffing Hours per Resident per Day
4.34871
Adjusted CNA Staffing Hours per Resident per Day
4.16406
Adjusted LPN Staffing Hours per Resident per Day
0.46802
Adjusted RN Staffing Hours per Resident per Day
0.95246
Adjusted Total Nurse Staffing Hours per Resident per Day
5.69664
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
12
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-07
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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BANGOR ME 4401 | 1.3 miles away
Bangor Nursing & Rehabilitation
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BANGOR ME 4401 | 1.5 miles away
Eastside Center For Health & Rehabilitation, Llc
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BANGOR ME 4401 | 1.9 miles away
Maine Veterans Home - Bangor
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BANGOR ME 4401 | 2.3 miles away
Brewer Center For Health & Rehabilitation, Llc
74 Parkway South |
BREWER ME 4412 | 3.4 miles away
Orono Commons
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ORONO ME 4473 | 6.9 miles away
Dexter Health Care
64 Park Street |
DEXTER ME 4930 | 28.2 miles away
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