St Antoine Residence - North Smithfield Nursing Home
General Information
UPDATEFederal Provider Number
415106
Provider Name
ST ANTOINE RESIDENCE
Provider Address
10 RHODES AVENUE
NORTH SMITHFIELD, RI 2896
NORTH SMITHFIELD, RI 2896
Provider Phone Number
4017673500
Provider SSA County
30
Provider County Name
Providence
Ownership Type
Non profit - Corporation
Number of Certified Beds
260
Number of Residents in Certified Beds
246
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAINT ANTOINE RESIDENCE
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
3.53943
Reported LPN Staffing Hours per Resident per Day
0.40976
Reported RN Staffing Hours per Resident per Day
0.77073
Reported Licensed Staffing Hours per Resident per Day
1.18049
Reported Total Nurse Staffing Hours per Resident per Day
4.71992
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09837
Expected CNA Staffing Hours per Resident per Day
2.42897
Expected LPN Staffing Hours per Resident per Day
0.58053
Expected RN Staffing Hours per Resident per Day
0.86839
Expected Total Nurse Staffing Hours per Resident per Day
3.87789
Adjusted CNA Staffing Hours per Resident per Day
3.57547
Adjusted LPN Staffing Hours per Resident per Day
0.58584
Adjusted RN Staffing Hours per Resident per Day
0.66317
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90616
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-08
Cycle 2 Number of Health Revisits
1
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
2012-06-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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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