Union House Nursing Home - Glover Nursing Home
General Information
UPDATEFederal Provider Number
475036
Provider Name
UNION HOUSE NURSING HOME
Provider Address
3086 GLOVER STREET
GLOVER, VT 5839
GLOVER, VT 5839
Provider Phone Number
(802) 525-6600
Provider SSA County
90
Provider County Name
Orleans
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
44
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNION HOUSE NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.27683
Reported LPN Staffing Hours per Resident per Day
0.76585
Reported RN Staffing Hours per Resident per Day
0.59146
Reported Licensed Staffing Hours per Resident per Day
1.35732
Reported Total Nurse Staffing Hours per Resident per Day
3.63414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02561
Expected CNA Staffing Hours per Resident per Day
2.35845
Expected LPN Staffing Hours per Resident per Day
0.55755
Expected RN Staffing Hours per Resident per Day
0.78092
Expected Total Nurse Staffing Hours per Resident per Day
3.69691
Adjusted CNA Staffing Hours per Resident per Day
2.36879
Adjusted LPN Staffing Hours per Resident per Day
1.14010
Adjusted RN Staffing Hours per Resident per Day
0.56592
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96246
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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