Summit Commons Rehabilitation & Health Care Center - Providence Nursing Home
General Information
UPDATEFederal Provider Number
415129
Provider Name
SUMMIT COMMONS REHABILITATION & HEALTH CARE CENTER
Provider Address
99 HILLSIDE AVENUE
PROVIDENCE, RI 2906
PROVIDENCE, RI 2906
Provider Phone Number
(401) 574-4800
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT RI SNF, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-08-26
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42813
Reported LPN Staffing Hours per Resident per Day
0.49883
Reported RN Staffing Hours per Resident per Day
0.76250
Reported Licensed Staffing Hours per Resident per Day
1.26133
Reported Total Nurse Staffing Hours per Resident per Day
3.68946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11055
Expected CNA Staffing Hours per Resident per Day
2.50659
Expected LPN Staffing Hours per Resident per Day
0.64372
Expected RN Staffing Hours per Resident per Day
1.19220
Expected Total Nurse Staffing Hours per Resident per Day
4.34251
Adjusted CNA Staffing Hours per Resident per Day
2.37689
Adjusted LPN Staffing Hours per Resident per Day
0.64318
Adjusted RN Staffing Hours per Resident per Day
0.47789
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42471
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
0
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
2012-05-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
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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