Caribou Rehab and Nursing Center
10 Bernadette St, Caribou, ME 04736


Caribou Rehab and Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 205117. The address is 10 Bernadette St, Caribou, ME 04736. The zip code is 04736. The phone number is 2074983102.


Caribou Rehab and Nursing Center · 10 Bernadette St, Caribou, ME 04736

Federal Provider Number 205117
Provider Name CARIBOU REHAB AND NURSING CENTER
Address 10 BERNADETTE ST
CARIBOU, ME 04736
Phone Number 2074983102
SSA County Code 10
County Name Aroostook
Ownership Type For profit - Corporation
Certified Beds 68
Certified Beds Residents 58
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CARIBOU NURSING HOME INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1993
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.95
Reported LPN Staffing Hours per Resident per Day 0.39655
Reported RN Staffing Hours per Resident per Day 1.31034
Reported Licensed Staffing Hours per Resident per Day 1.7069
Reported Total Nurse Staffing Hours per Resident per Day 5.65689
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18621
Expected CNA Staffing Hours per Resident per Day 2.69549
Expected LPN Staffing Hours per Resident per Day 0.67992
Expected RN Staffing Hours per Resident per Day 1.00942
Expected Total Nurse Staffing Hours per Resident per Day 4.38483
Adjusted CNA Staffing Hours per Resident per Day 3.59568
Adjusted LPN Staffing Hours per Resident per Day 0.48408
Adjusted RN Staffing Hours per Resident per Day 0.96995
Adjusted Total Nurse Staffing Hours per Resident per Day 5.20029
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 04/12/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 02/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 03/04/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 10.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Caribou Rehab and Nursing Center

Owner Name Role Association Date
CYR, ALBERT (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
since 01/01/2009
CYR, ALBERT (Individual) DIRECTOR since 05/07/1973
CYR, ALBERT (Individual) OFFICER since 05/07/1973
CYR, MICHAEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2009
CYR, PAUL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
since 01/01/2009
CYR, PHILIP (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
since 01/01/2009
CYR, PHILIP (Individual) DIRECTOR since 07/01/1996
CYR, PHILIP (Individual) MANAGING EMPLOYEE since 01/01/2009
CYR, PHILIP (Individual) OFFICER since 07/01/1996
DAIGLE, MARGARET (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
since 01/01/2009
LOUTEN, ROSE MARIE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
since 01/01/2009
LOUTEN, ROSE MARIE (Individual) DIRECTOR since 01/01/1990
LOUTEN, ROSE MARIE (Individual) OFFICER since 01/01/1990
MORRILL, JANET (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
since 01/01/2009

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