St Johnsbury Health & Rehab - Saint Johnsbury Nursing Home
General Information
UPDATEFederal Provider Number
475019
Provider Name
ST JOHNSBURY HEALTH & REHAB
Provider Address
1248 HOSPITAL DRIVE
SAINT JOHNSBURY, VT 05819
SAINT JOHNSBURY, VT 05819
Provider Phone Number
(802) 748-8757
Provider SSA County
20
Provider County Name
Caledonia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. JOHNSBURY HEALTH & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1971-10-04
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.41209
Reported LPN Staffing Hours per Resident per Day
0.90934
Reported RN Staffing Hours per Resident per Day
0.97033
Reported Licensed Staffing Hours per Resident per Day
1.87967
Reported Total Nurse Staffing Hours per Resident per Day
4.29176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08791
Expected CNA Staffing Hours per Resident per Day
2.57591
Expected LPN Staffing Hours per Resident per Day
0.70694
Expected RN Staffing Hours per Resident per Day
1.16162
Expected Total Nurse Staffing Hours per Resident per Day
4.44447
Adjusted CNA Staffing Hours per Resident per Day
2.29766
Adjusted LPN Staffing Hours per Resident per Day
1.06763
Adjusted RN Staffing Hours per Resident per Day
0.62415
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89240
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-08
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
12
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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