Varney Crossing Ncc - North Berwick Nursing Home
General Information
UPDATEFederal Provider Number
205086
Provider Name
VARNEY CROSSING NCC
Provider Address
47 ELM ST
NORTH BERWICK, ME 3906
NORTH BERWICK, ME 3906
Provider Phone Number
2076762242
Provider SSA County
150
Provider County Name
York
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
61
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
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
4
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
3.30738
Reported LPN Staffing Hours per Resident per Day
0.40738
Reported RN Staffing Hours per Resident per Day
0.74344
Reported Licensed Staffing Hours per Resident per Day
1.15082
Reported Total Nurse Staffing Hours per Resident per Day
4.45820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08689
Expected CNA Staffing Hours per Resident per Day
2.61969
Expected LPN Staffing Hours per Resident per Day
0.59652
Expected RN Staffing Hours per Resident per Day
0.94415
Expected Total Nurse Staffing Hours per Resident per Day
4.16035
Adjusted CNA Staffing Hours per Resident per Day
3.09782
Adjusted LPN Staffing Hours per Resident per Day
0.56683
Adjusted RN Staffing Hours per Resident per Day
0.58836
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31948
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-22
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
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
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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