William P Clough Extended Care Center - New London Nursing Home
General Information
UPDATEFederal Provider Number
305021
Provider Name
WILLIAM P CLOUGH EXTENDED CARE CENTER
Provider Address
273 COUNTY ROAD
NEW LONDON, NH 3257
NEW LONDON, NH 3257
Provider Phone Number
(603) 526-5312
Provider SSA County
60
Provider County Name
Merrimack
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
56
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE NEW LONDON HOSPITAL ASSOCIATION, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-09-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.45098
Reported LPN Staffing Hours per Resident per Day
0.47059
Reported RN Staffing Hours per Resident per Day
1.20980
Reported Licensed Staffing Hours per Resident per Day
1.68039
Reported Total Nurse Staffing Hours per Resident per Day
5.13137
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06765
Expected CNA Staffing Hours per Resident per Day
2.41058
Expected LPN Staffing Hours per Resident per Day
0.56804
Expected RN Staffing Hours per Resident per Day
0.79872
Expected Total Nurse Staffing Hours per Resident per Day
3.77734
Adjusted CNA Staffing Hours per Resident per Day
3.51272
Adjusted LPN Staffing Hours per Resident per Day
0.68760
Adjusted RN Staffing Hours per Resident per Day
1.13176
Adjusted Total Nurse Staffing Hours per Resident per Day
5.47582
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-16
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
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
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
20
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
23953
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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