Westerly Nursing Home Inc - Westerly Nursing Home
General Information
UPDATEFederal Provider Number
415004
Provider Name
WESTERLY NURSING HOME INC
Provider Address
79 BEACH STREET
WESTERLY, RI 2891
WESTERLY, RI 2891
Provider Phone Number
(401) 596-4925
Provider SSA County
50
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTERLY NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04576
Reported LPN Staffing Hours per Resident per Day
0.02203
Reported RN Staffing Hours per Resident per Day
1.18390
Reported Licensed Staffing Hours per Resident per Day
1.20593
Reported Total Nurse Staffing Hours per Resident per Day
4.25169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11610
Expected CNA Staffing Hours per Resident per Day
2.52537
Expected LPN Staffing Hours per Resident per Day
0.56745
Expected RN Staffing Hours per Resident per Day
0.89138
Expected Total Nurse Staffing Hours per Resident per Day
3.98420
Adjusted CNA Staffing Hours per Resident per Day
2.95932
Adjusted LPN Staffing Hours per Resident per Day
0.03222
Adjusted RN Staffing Hours per Resident per Day
0.99241
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30153
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
2014-05-09
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2012-02-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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