Salemhaven - Salem Nursing Home
General Information
UPDATEFederal Provider Number
305058
Provider Name
SALEMHAVEN
Provider Address
23 GEREMONTY DRIVE
SALEM, NH 3079
SALEM, NH 3079
Provider Phone Number
(603) 893-5586
Provider SSA County
70
Provider County Name
Rockingham
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEMHAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65743
Reported LPN Staffing Hours per Resident per Day
0.69653
Reported RN Staffing Hours per Resident per Day
0.79901
Reported Licensed Staffing Hours per Resident per Day
1.49554
Reported Total Nurse Staffing Hours per Resident per Day
4.15297
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05644
Expected CNA Staffing Hours per Resident per Day
2.42825
Expected LPN Staffing Hours per Resident per Day
0.54755
Expected RN Staffing Hours per Resident per Day
0.86571
Expected Total Nurse Staffing Hours per Resident per Day
3.84152
Adjusted CNA Staffing Hours per Resident per Day
2.68528
Adjusted LPN Staffing Hours per Resident per Day
1.05582
Adjusted RN Staffing Hours per Resident per Day
0.68963
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35770
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
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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