Victorian Villa Rehabilitation - Canton Nursing Home
General Information
UPDATEFederal Provider Number
205101
Provider Name
VICTORIAN VILLA REHABILITATION
Provider Address
24 - 26 PLEASANT STREET
CANTON, ME 4221
CANTON, ME 4221
Provider Phone Number
2075972510
Provider SSA County
80
Provider County Name
Oxford
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
45
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.01000
Reported LPN Staffing Hours per Resident per Day
0.43444
Reported RN Staffing Hours per Resident per Day
0.64000
Reported Licensed Staffing Hours per Resident per Day
1.07444
Reported Total Nurse Staffing Hours per Resident per Day
4.08444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05111
Expected CNA Staffing Hours per Resident per Day
2.74895
Expected LPN Staffing Hours per Resident per Day
0.60064
Expected RN Staffing Hours per Resident per Day
0.92345
Expected Total Nurse Staffing Hours per Resident per Day
4.27303
Adjusted CNA Staffing Hours per Resident per Day
2.68671
Adjusted LPN Staffing Hours per Resident per Day
0.60034
Adjusted RN Staffing Hours per Resident per Day
0.51785
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85299
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-08
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.66700
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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