Scandinavian Home Inc - Cranston Nursing Home
General Information
UPDATEFederal Provider Number
415051
Provider Name
SCANDINAVIAN HOME INC
Provider Address
1811 BROAD STREET
CRANSTON, RI 2905
CRANSTON, RI 2905
Provider Phone Number
(401) 461-1433
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCANDINAVIAN HOME INC
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.57966
Reported LPN Staffing Hours per Resident per Day
0.28136
Reported RN Staffing Hours per Resident per Day
0.94746
Reported Licensed Staffing Hours per Resident per Day
1.22881
Reported Total Nurse Staffing Hours per Resident per Day
4.80848
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01441
Expected CNA Staffing Hours per Resident per Day
2.41667
Expected LPN Staffing Hours per Resident per Day
0.56686
Expected RN Staffing Hours per Resident per Day
0.89061
Expected Total Nurse Staffing Hours per Resident per Day
3.87414
Adjusted CNA Staffing Hours per Resident per Day
3.63451
Adjusted LPN Staffing Hours per Resident per Day
0.41197
Adjusted RN Staffing Hours per Resident per Day
0.79490
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00305
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
2014-06-19
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-07-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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