Village House Convalescent Home Inc
70 Harrison Avenue, Newport, RI 02840


Village House Convalescent Home Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 415074. The address is 70 Harrison Avenue, Newport, RI 02840. The zip code is 02840. The phone number is 4018495222.


Village House Convalescent Home Inc · 70 Harrison Avenue, Newport, RI 02840

Federal Provider Number 415074
Provider Name VILLAGE HOUSE CONVALESCENT HOME INC
Address 70 HARRISON AVENUE
NEWPORT, RI 02840
Phone Number 4018495222
SSA County Code 20
County Name Newport
Ownership Type For profit - Corporation
Certified Beds 95
Certified Beds Residents 83
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VILLAGE HOUSE CONVALESCENT HOME INC
Date First Approved to Provide Medicare Medicaid Services 03/19/1980
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 4
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.18193
Reported LPN Staffing Hours per Resident per Day 0.26084
Reported RN Staffing Hours per Resident per Day 0.97289
Reported Licensed Staffing Hours per Resident per Day 1.23373
Reported Total Nurse Staffing Hours per Resident per Day 3.41566
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05181
Expected CNA Staffing Hours per Resident per Day 2.43362
Expected LPN Staffing Hours per Resident per Day 0.62506
Expected RN Staffing Hours per Resident per Day 1.09388
Expected Total Nurse Staffing Hours per Resident per Day 4.15257
Adjusted CNA Staffing Hours per Resident per Day 2.19993
Adjusted LPN Staffing Hours per Resident per Day 0.34636
Adjusted RN Staffing Hours per Resident per Day 0.66455
Adjusted Total Nurse Staffing Hours per Resident per Day 3.31558
Cycle 1 Standard Survey Health Date 10/07/2016
Cycle 2 Standard Health Survey Date 11/23/2015
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 10/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Village House Convalescent Home Inc

Owner Name Role Association Date
CARRAGHER, TERRY (Individual) OFFICER since 12/09/2003
DOMINGOES, LORI (Individual) MANAGING EMPLOYEE since 10/25/1999
GAGE, JOHN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/01/2006
HEALTH CONCEPTS (Organization) OPERATIONAL/MANAGERIAL CONTROL since 05/02/1983
ROMAGNOLO, JENNIFER (Individual) MANAGING EMPLOYEE since 02/27/2012
RYAN, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/1974
RYAN, DAVID (Individual) OFFICER since 01/01/1974
RYAN, SALLY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/1974
RYAN, SALLY (Individual) OFFICER since 01/01/1974

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