Waterview Villa Rehabilitation & Health Care Cente - East Providence Nursing Home
General Information
UPDATEFederal Provider Number
415042
Provider Name
WATERVIEW VILLA REHABILITATION & HEALTH CARE CENTE
Provider Address
1275 SOUTH BROADWAY
EAST PROVIDENCE, RI 2914
EAST PROVIDENCE, RI 2914
Provider Phone Number
(401) 438-7020
Provider SSA County
30
Provider County Name
Providence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERVIEW RI SNF, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.57398
Reported LPN Staffing Hours per Resident per Day
0.47724
Reported RN Staffing Hours per Resident per Day
0.71341
Reported Licensed Staffing Hours per Resident per Day
1.19065
Reported Total Nurse Staffing Hours per Resident per Day
3.76463
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11748
Expected CNA Staffing Hours per Resident per Day
2.46872
Expected LPN Staffing Hours per Resident per Day
0.67529
Expected RN Staffing Hours per Resident per Day
1.11345
Expected Total Nurse Staffing Hours per Resident per Day
4.25746
Adjusted CNA Staffing Hours per Resident per Day
2.55832
Adjusted LPN Staffing Hours per Resident per Day
0.58657
Adjusted RN Staffing Hours per Resident per Day
0.47875
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56430
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
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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