Chelsea Jewish Nursing Home - Chelsea Nursing Home
General Information
UPDATEFederal Provider Number
225451
Provider Name
CHELSEA JEWISH NURSING HOME
Provider Address
17 LAFAYETTE AVENUE
CHELSEA, MA 2150
CHELSEA, MA 2150
Provider Phone Number
6178846766
Provider SSA County
160
Provider County Name
Suffolk
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHELSEA JEWISH NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.71059
Reported LPN Staffing Hours per Resident per Day
0.38347
Reported RN Staffing Hours per Resident per Day
0.94322
Reported Licensed Staffing Hours per Resident per Day
1.32669
Reported Total Nurse Staffing Hours per Resident per Day
4.03728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05678
Expected CNA Staffing Hours per Resident per Day
2.63292
Expected LPN Staffing Hours per Resident per Day
0.58921
Expected RN Staffing Hours per Resident per Day
0.88716
Expected Total Nurse Staffing Hours per Resident per Day
4.10930
Adjusted CNA Staffing Hours per Resident per Day
2.52608
Adjusted LPN Staffing Hours per Resident per Day
0.54018
Adjusted RN Staffing Hours per Resident per Day
0.79442
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96026
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-06-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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