Maine Nursing Homes >> Lewiston Nursing Homes >> St Mary's D'youville Pavilion

St Mary's D'youville Pavilion - Lewiston Nursing Home

General Information

UPDATE
Federal Provider Number
205053
Provider Name
ST MARY'S D'YOUVILLE PAVILION
Provider Address
102 CAMPUS AVE
LEWISTON, ME 4240
Provider Phone Number
2077774200
Provider SSA County
0
Provider County Name
Androscoggin
Ownership Type
Non profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
197
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
1984-02-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.14264
Reported LPN Staffing Hours per Resident per Day
0.34010
Reported RN Staffing Hours per Resident per Day
1.67234
Reported Licensed Staffing Hours per Resident per Day
2.01244
Reported Total Nurse Staffing Hours per Resident per Day
5.15508
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13807
Expected CNA Staffing Hours per Resident per Day
2.66389
Expected LPN Staffing Hours per Resident per Day
0.64094
Expected RN Staffing Hours per Resident per Day
1.04065
Expected Total Nurse Staffing Hours per Resident per Day
4.34548
Adjusted CNA Staffing Hours per Resident per Day
2.89467
Adjusted LPN Staffing Hours per Resident per Day
0.44042
Adjusted RN Staffing Hours per Resident per Day
1.20076
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78189
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-23
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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