St Joseph's Rehabilitation And Residence - Portland Nursing Home
General Information
UPDATEFederal Provider Number
205134
Provider Name
ST JOSEPH'S REHABILITATION AND RESIDENCE
Provider Address
1133 WASHINGTON AVE
PORTLAND, ME 4103
PORTLAND, ME 4103
Provider Phone Number
(207) 797-0600
Provider SSA County
20
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.16857
Reported LPN Staffing Hours per Resident per Day
0.64857
Reported RN Staffing Hours per Resident per Day
0.87667
Reported Licensed Staffing Hours per Resident per Day
1.52524
Reported Total Nurse Staffing Hours per Resident per Day
3.69381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08905
Expected CNA Staffing Hours per Resident per Day
2.58807
Expected LPN Staffing Hours per Resident per Day
0.62977
Expected RN Staffing Hours per Resident per Day
1.05275
Expected Total Nurse Staffing Hours per Resident per Day
4.27059
Adjusted CNA Staffing Hours per Resident per Day
2.05598
Adjusted LPN Staffing Hours per Resident per Day
0.85477
Adjusted RN Staffing Hours per Resident per Day
0.62223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48649
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
6
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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