Seaport Village Healthcare - Ellsworth Nursing Home
General Information
UPDATEFederal Provider Number
205145
Provider Name
SEAPORT VILLAGE HEALTHCARE
Provider Address
19 GENERAL MOORE WAY
ELLSWORTH, ME 4605
ELLSWORTH, ME 4605
Provider Phone Number
2076679336
Provider SSA County
40
Provider County Name
Hancock
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SEAPORT VILLAGE SKILLED NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.98469
Reported LPN Staffing Hours per Resident per Day
0.28673
Reported RN Staffing Hours per Resident per Day
1.41939
Reported Licensed Staffing Hours per Resident per Day
1.70612
Reported Total Nurse Staffing Hours per Resident per Day
4.69081
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30510
Expected CNA Staffing Hours per Resident per Day
2.62206
Expected LPN Staffing Hours per Resident per Day
0.67591
Expected RN Staffing Hours per Resident per Day
1.14697
Expected Total Nurse Staffing Hours per Resident per Day
4.44494
Adjusted CNA Staffing Hours per Resident per Day
2.79305
Adjusted LPN Staffing Hours per Resident per Day
0.35210
Adjusted RN Staffing Hours per Resident per Day
0.92467
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25387
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
208
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
104
Cycle 1 Total Health Score
312
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
2
Cycle 2 Total Health Score
2
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
164.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
Courtland Rehab & Living Center
42 Bucksport Rd |
ELLSWORTH ME 4605 | 0.7 mile away
Sonogee Rehabilitation & Living Center
131 Eden St |
BAR HARBOR ME 4609 | 13.9 miles away
Island Nursing Home & Care Ctr
587 North Deer Isle Rd |
DEER ISLE ME 4627 | 26.9 miles away
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