Country Village Center, Genesis Healthcare
Country Village Center, Genesis Healthcare Information
| Facility Name | Country Village Center, Genesis Healthcare |
| Location | 91 Country Village Road, Lancaster, NH 3584 |
| County (SSA Code) | Coos (30) |
| Phone Number | 603-788-4735 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 86 |
| Average Number of Residents | 75.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | 91 COUNTRY VILLAGE ROAD OPERATIONS LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1996-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.92509 |
| Reported LPN Staffing Hours per Resident per Day | 0.68189 |
| Reported RN Staffing - Hours per Resident per Day | 0.80594 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.48783 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.41291 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04591 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.85548 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67816 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31425 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.84789 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.82072 |
| Total Weighted Health Survey Score for three cycles | 9.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-30 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-10 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-10 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 11050 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |