Massachusetts Nursing Homes >> Andover Nursing Homes >> Academy Manor

Academy Manor - Andover Nursing Home

General Information

UPDATE
Federal Provider Number
225294
Provider Name
ACADEMY MANOR
Provider Address
89 MORTON STREET
ANDOVER, MA 1810
Provider Phone Number
(978) 475-0944
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
89 MORTON STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1987-02-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21918
Reported LPN Staffing Hours per Resident per Day
0.91336
Reported RN Staffing Hours per Resident per Day
0.70548
Reported Licensed Staffing Hours per Resident per Day
1.61884
Reported Total Nurse Staffing Hours per Resident per Day
3.83802
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09486
Expected CNA Staffing Hours per Resident per Day
2.54987
Expected LPN Staffing Hours per Resident per Day
0.59723
Expected RN Staffing Hours per Resident per Day
0.95836
Expected Total Nurse Staffing Hours per Resident per Day
4.10546
Adjusted CNA Staffing Hours per Resident per Day
2.13548
Adjusted LPN Staffing Hours per Resident per Day
1.26935
Adjusted RN Staffing Hours per Resident per Day
0.55004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76831
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5038
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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