Seaside Rehab & Health Care - Portland Nursing Home
General Information
UPDATEFederal Provider Number
205074
Provider Name
SEASIDE REHAB & HEALTH CARE
Provider Address
850 BAXTER BOULEVARD
PORTLAND, ME 4103
PORTLAND, ME 4103
Provider Phone Number
(207) 774-7878
Provider SSA County
20
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SEASIDE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.87802
Reported LPN Staffing Hours per Resident per Day
0.82802
Reported RN Staffing Hours per Resident per Day
1.00216
Reported Licensed Staffing Hours per Resident per Day
1.83017
Reported Total Nurse Staffing Hours per Resident per Day
4.70820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20690
Expected CNA Staffing Hours per Resident per Day
2.47052
Expected LPN Staffing Hours per Resident per Day
0.65854
Expected RN Staffing Hours per Resident per Day
1.09707
Expected Total Nurse Staffing Hours per Resident per Day
4.22613
Adjusted CNA Staffing Hours per Resident per Day
2.85843
Adjusted LPN Staffing Hours per Resident per Day
1.04361
Adjusted RN Staffing Hours per Resident per Day
0.68256
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49070
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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