Russell Park Rehab & Living - Lewiston Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
205052
Provider Name
RUSSELL PARK REHAB & LIVING
Provider Address
158-178 RUSSELL ST
LEWISTON, ME 4240
LEWISTON, ME 4240
Provider Phone Number
(207) 786-0691
Provider SSA County
0
Provider County Name
Androscoggin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL CARE MANAGEMENT, INC
Date First Approved to Provide Medicare and Medicaid services
1981-08-19
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
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
3.90745
Reported LPN Staffing Hours per Resident per Day
0.27660
Reported RN Staffing Hours per Resident per Day
1.14255
Reported Licensed Staffing Hours per Resident per Day
1.41915
Reported Total Nurse Staffing Hours per Resident per Day
5.32660
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22447
Expected CNA Staffing Hours per Resident per Day
2.56192
Expected LPN Staffing Hours per Resident per Day
0.67223
Expected RN Staffing Hours per Resident per Day
1.07200
Expected Total Nurse Staffing Hours per Resident per Day
4.30615
Adjusted CNA Staffing Hours per Resident per Day
3.74240
Adjusted LPN Staffing Hours per Resident per Day
0.34152
Adjusted RN Staffing Hours per Resident per Day
0.79637
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98612
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
28
Cycle 2 Standard Health Survey Date
2013-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2011-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
27.33300
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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