Nursing Home

MONTELLO MANOR

Overall Rating

SFF Candidate

Address

540 College St

Lewiston, ME 04240

Contact

2077832039

Certification Date

1971-07-16

Details

CMS Certification Number

205006

Ownership Type

For profit - Corporation

Number of Certified Beds

37

Average Number of Residents per Day

33.2

Provider Type

Medicare and Medicaid

Legal Business Name

ROUSSEAU ENTERPRISES LLC

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

1

Quality Measure Rating

1

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.33853

Reported LPN Staffing Hours per Resident per Day

0.60177

Reported RN Staffing Hours per Resident per Day

0.93132

Reported Total Nurse Staffing Hours per Resident per Day

3.87162

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.33857

Registered Nurse Hours per Resident per Day on the Weekend

0.49312

Reported Physical Therapist Staffing Hours per Resident Per Day

0.13213

Quality Measures

Long-Stay Quality Measure Rating

1

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

104.167

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

2

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-12

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

8

Health Deficiency Score

111

Number of Health Revisits

2

Health Revisit Score

56

Total Health Score

167

Rating Cycle 2

Standard Health Survey Date

2022-01-20

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

1

Health Deficiency Score

56

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

56

Rating Cycle 3

Standard Health Survey Date

2019-12-18

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

0

Health Deficiency Score

12

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

12

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

14517.75

Number of Payment Denials

0

Total Number of Penalties

1