Saint Ann Rehabilitation And Nursing Center - Dover Nursing Home
General Information
UPDATEFederal Provider Number
305069
Provider Name
SAINT ANN REHABILITATION AND NURSING CENTER
Provider Address
195 DOVER POINT ROAD
DOVER, NH 3820
DOVER, NH 3820
Provider Phone Number
(603) 742-2612
Provider SSA County
80
Provider County Name
Strafford
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
54
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST ANN REHABILITATION AND NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.56346
Reported LPN Staffing Hours per Resident per Day
0.53269
Reported RN Staffing Hours per Resident per Day
0.94615
Reported Licensed Staffing Hours per Resident per Day
1.47885
Reported Total Nurse Staffing Hours per Resident per Day
4.04230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18846
Expected CNA Staffing Hours per Resident per Day
2.40607
Expected LPN Staffing Hours per Resident per Day
0.57486
Expected RN Staffing Hours per Resident per Day
0.94456
Expected Total Nurse Staffing Hours per Resident per Day
3.92549
Adjusted CNA Staffing Hours per Resident per Day
2.61421
Adjusted LPN Staffing Hours per Resident per Day
0.76912
Adjusted RN Staffing Hours per Resident per Day
0.74845
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15085
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
4
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-03-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.00000
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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