South County Nursing & Subacute Center Inc - North Kingstown Nursing Home
General Information
UPDATEFederal Provider Number
415071
Provider Name
SOUTH COUNTY NURSING & SUBACUTE CENTER INC
Provider Address
RTE 4, 740 OAK HILL ROAD
NORTH KINGSTOWN, RI 2852
NORTH KINGSTOWN, RI 2852
Provider Phone Number
(401) 294-4545
Provider SSA County
50
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CPL SOUTH COUNTY, LLC
Date First Approved to Provide Medicare and Medicaid services
1979-05-01
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
3
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
2.50780
Reported LPN Staffing Hours per Resident per Day
0.43945
Reported RN Staffing Hours per Resident per Day
1.02156
Reported Licensed Staffing Hours per Resident per Day
1.46101
Reported Total Nurse Staffing Hours per Resident per Day
3.96881
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13119
Expected CNA Staffing Hours per Resident per Day
2.30069
Expected LPN Staffing Hours per Resident per Day
0.60420
Expected RN Staffing Hours per Resident per Day
1.01885
Expected Total Nurse Staffing Hours per Resident per Day
3.92374
Adjusted CNA Staffing Hours per Resident per Day
2.67458
Adjusted LPN Staffing Hours per Resident per Day
0.60368
Adjusted RN Staffing Hours per Resident per Day
0.74919
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07720
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
2015-02-16
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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