Hannah B G Shaw Home For The Aged - Middleboro Nursing Home
General Information
UPDATEFederal Provider Number
225547
Provider Name
HANNAH B G SHAW HOME FOR THE AGED
Provider Address
299 WAREHAM STREET PO BOX 390
MIDDLEBORO, MA 2346
MIDDLEBORO, MA 2346
Provider Phone Number
5089471184
Provider SSA County
150
Provider County Name
Plymouth
Ownership Type
Non profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANNAH B GRIFFITH SHAW HOME FOR THE AGED INC
Date First Approved to Provide Medicare and Medicaid services
1992-01-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20893
Reported LPN Staffing Hours per Resident per Day
2.51250
Reported RN Staffing Hours per Resident per Day
1.36429
Reported Licensed Staffing Hours per Resident per Day
3.87679
Reported Total Nurse Staffing Hours per Resident per Day
7.08572
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00536
Expected CNA Staffing Hours per Resident per Day
2.40365
Expected LPN Staffing Hours per Resident per Day
0.60902
Expected RN Staffing Hours per Resident per Day
0.94153
Expected Total Nurse Staffing Hours per Resident per Day
3.95420
Adjusted CNA Staffing Hours per Resident per Day
3.27575
Adjusted LPN Staffing Hours per Resident per Day
3.42415
Adjusted RN Staffing Hours per Resident per Day
1.08270
Adjusted Total Nurse Staffing Hours per Resident per Day
7.22316
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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