Devereux House Skilled Nursing And Rehabilitation - Marblehead Nursing Home
General Information
UPDATEFederal Provider Number
225398
Provider Name
DEVEREUX HOUSE SKILLED NURSING AND REHABILITATION
Provider Address
39 LAFAYETTE STREET
MARBLEHEAD, MA 1945
MARBLEHEAD, MA 1945
Provider Phone Number
(781) 631-6120
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLIANCE HEALTH OF MASSACHUSETTS 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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.27381
Reported LPN Staffing Hours per Resident per Day
0.80794
Reported RN Staffing Hours per Resident per Day
0.69365
Reported Licensed Staffing Hours per Resident per Day
1.50159
Reported Total Nurse Staffing Hours per Resident per Day
3.77540
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09048
Expected CNA Staffing Hours per Resident per Day
2.47457
Expected LPN Staffing Hours per Resident per Day
0.62222
Expected RN Staffing Hours per Resident per Day
0.90855
Expected Total Nurse Staffing Hours per Resident per Day
4.00534
Adjusted CNA Staffing Hours per Resident per Day
2.25463
Adjusted LPN Staffing Hours per Resident per Day
1.07774
Adjusted RN Staffing Hours per Resident per Day
0.57047
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79950
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-07
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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