Woodlawn Rehabilitation & Nursing Center - Skowhegan Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
205154
Provider Name
WOODLAWN REHABILITATION & NURSING CENTER
Provider Address
59 WEST FRONT ST
SKOWHEGAN, ME 4976
SKOWHEGAN, ME 4976
Provider Phone Number
(207) 474-9300
Provider SSA County
120
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAWN NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.69625
Reported LPN Staffing Hours per Resident per Day
0.17000
Reported RN Staffing Hours per Resident per Day
0.83250
Reported Licensed Staffing Hours per Resident per Day
1.00250
Reported Total Nurse Staffing Hours per Resident per Day
3.69875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12875
Expected CNA Staffing Hours per Resident per Day
2.45727
Expected LPN Staffing Hours per Resident per Day
0.62514
Expected RN Staffing Hours per Resident per Day
0.97304
Expected Total Nurse Staffing Hours per Resident per Day
4.05545
Adjusted CNA Staffing Hours per Resident per Day
2.69233
Adjusted LPN Staffing Hours per Resident per Day
0.22571
Adjusted RN Staffing Hours per Resident per Day
0.63928
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67636
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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