Wake Robin-linden Nursing Home - Shelburne Nursing Home
General Information
UPDATEFederal Provider Number
475056
Provider Name
WAKE ROBIN-LINDEN NURSING HOME
Provider Address
200 WAKE ROBIN DRIVE
SHELBURNE, VT 5482
SHELBURNE, VT 5482
Provider Phone Number
(802) 264-5100
Provider SSA County
30
Provider County Name
Chittenden
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
23
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WAKE ROBIN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1998-02-11
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.84783
Reported LPN Staffing Hours per Resident per Day
0.72826
Reported RN Staffing Hours per Resident per Day
2.30217
Reported Licensed Staffing Hours per Resident per Day
3.03043
Reported Total Nurse Staffing Hours per Resident per Day
6.87826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34130
Expected CNA Staffing Hours per Resident per Day
2.32509
Expected LPN Staffing Hours per Resident per Day
0.53893
Expected RN Staffing Hours per Resident per Day
0.90001
Expected Total Nurse Staffing Hours per Resident per Day
3.76404
Adjusted CNA Staffing Hours per Resident per Day
4.06066
Adjusted LPN Staffing Hours per Resident per Day
1.12159
Adjusted RN Staffing Hours per Resident per Day
1.91129
Adjusted Total Nurse Staffing Hours per Resident per Day
7.36592
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-03-27
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
2012-04-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.00000
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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