Baker-katz Skilled Nursing And Rehabilitation Ctr - Haverhill Nursing Home

General Information

UPDATE
Federal Provider Number
225743
Provider Name
BAKER-KATZ SKILLED NURSING AND REHABILITATION CTR
Provider Address
194 BOARDMAN STREET
HAVERHILL, MA 1830
Provider Phone Number
(978) 373-5697
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
77
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARINO GRIMES, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-09-01
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.02419
Reported LPN Staffing Hours per Resident per Day
0.76855
Reported RN Staffing Hours per Resident per Day
0.66935
Reported Licensed Staffing Hours per Resident per Day
1.43790
Reported Total Nurse Staffing Hours per Resident per Day
3.46209
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01935
Expected CNA Staffing Hours per Resident per Day
2.22547
Expected LPN Staffing Hours per Resident per Day
0.58590
Expected RN Staffing Hours per Resident per Day
0.89980
Expected Total Nurse Staffing Hours per Resident per Day
3.71117
Adjusted CNA Staffing Hours per Resident per Day
2.23178
Adjusted LPN Staffing Hours per Resident per Day
1.08875
Adjusted RN Staffing Hours per Resident per Day
0.55583
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76036
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
2015-03-31
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
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
2013-04-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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