Copley At Stoughton Nursing Care Center - Stoughton Nursing Home
General Information
UPDATEFederal Provider Number
225653
Provider Name
COPLEY AT STOUGHTON NURSING CARE CENTER
Provider Address
380 SUMNER STREET
STOUGHTON, MA 2072
STOUGHTON, MA 2072
Provider Phone Number
7813412300
Provider SSA County
130
Provider County Name
Norfolk
Ownership Type
For profit - Partnership
Number of Certified Beds
123
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COPLEY HEALTHCARE PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1994-11-15
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.37727
Reported LPN Staffing Hours per Resident per Day
0.35273
Reported RN Staffing Hours per Resident per Day
1.24636
Reported Licensed Staffing Hours per Resident per Day
1.59909
Reported Total Nurse Staffing Hours per Resident per Day
3.97636
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09364
Expected CNA Staffing Hours per Resident per Day
2.36519
Expected LPN Staffing Hours per Resident per Day
0.57002
Expected RN Staffing Hours per Resident per Day
0.85785
Expected Total Nurse Staffing Hours per Resident per Day
3.79307
Adjusted CNA Staffing Hours per Resident per Day
2.46623
Adjusted LPN Staffing Hours per Resident per Day
0.51360
Adjusted RN Staffing Hours per Resident per Day
1.08560
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22569
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-08-21
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
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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