Scalabrini Villa - North Kingstown Nursing Home
General Information
UPDATEFederal Provider Number
415063
Provider Name
SCALABRINI VILLA
Provider Address
860 NORTH QUIDESSET ROAD
NORTH KINGSTOWN, RI 2852
NORTH KINGSTOWN, RI 2852
Provider Phone Number
(401) 884-1802
Provider SSA County
50
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCALABRINI VILLA, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-03-01
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
5
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
2.60385
Reported LPN Staffing Hours per Resident per Day
0.27548
Reported RN Staffing Hours per Resident per Day
0.92788
Reported Licensed Staffing Hours per Resident per Day
1.20337
Reported Total Nurse Staffing Hours per Resident per Day
3.80721
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05769
Expected CNA Staffing Hours per Resident per Day
2.61494
Expected LPN Staffing Hours per Resident per Day
0.58456
Expected RN Staffing Hours per Resident per Day
0.90455
Expected Total Nurse Staffing Hours per Resident per Day
4.10405
Adjusted CNA Staffing Hours per Resident per Day
2.44329
Adjusted LPN Staffing Hours per Resident per Day
0.39115
Adjusted RN Staffing Hours per Resident per Day
0.76647
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73935
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
2015-03-31
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
2014-03-20
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
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
2013-05-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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