St Joseph's Rehabilitation and Residence
1133 Washington Ave, Portland, ME 04103


St Joseph's Rehabilitation and Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 205134. The address is 1133 Washington Ave, Portland, ME 04103. The zip code is 04103. The phone number is 2077970600.


St Joseph's Rehabilitation and Residence · 1133 Washington Ave, Portland, ME 04103

Federal Provider Number 205134
Provider Name ST JOSEPH'S REHABILITATION AND RESIDENCE
Address 1133 WASHINGTON AVE
PORTLAND, ME 04103
Phone Number 2077970600
SSA County Code 20
County Name Cumberland
Ownership Type Non profit - Corporation
Certified Beds 121
Certified Beds Residents 102
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ST JOSEPHS REHABILITATION & RESIDENCE
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 4
Health Inspection Rating 3
Quality Measure Rating 2
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.92108
Reported LPN Staffing Hours per Resident per Day 0.41176
Reported RN Staffing Hours per Resident per Day 1.01912
Reported Licensed Staffing Hours per Resident per Day 1.43088
Reported Total Nurse Staffing Hours per Resident per Day 4.35196
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06029
Expected CNA Staffing Hours per Resident per Day 2.48861
Expected LPN Staffing Hours per Resident per Day 0.59747
Expected RN Staffing Hours per Resident per Day 0.96747
Expected Total Nurse Staffing Hours per Resident per Day 4.05355
Adjusted CNA Staffing Hours per Resident per Day 2.8801
Adjusted LPN Staffing Hours per Resident per Day 0.57201
Adjusted RN Staffing Hours per Resident per Day 0.78709
Adjusted Total Nurse Staffing Hours per Resident per Day 4.32764
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 04/27/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 04/07/2016
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 05/14/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 14.667
Number of Facility Reported Incidents 6
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · St Joseph's Rehabilitation and Residence

Owner Name Role Association Date
AYERS, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2014
BARRETT, DANIEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2008
D'ANJOU, MADELINE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2008
DANIELSON, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/10/2013
FARRINGTON, PEGGY (Individual) MANAGING EMPLOYEE since 01/12/2015
GAGNON, COLETTE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2012
MCGUINNESS, HELEN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2013
MORRISON, FRANK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2013
TWOOMEY, DAVID (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2012
WOOD, JOSEPH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2008

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