Ellis Nursing Home (the) - Norwood Nursing Home
General Information
UPDATEFederal Provider Number
225211
Provider Name
ELLIS NURSING HOME (THE)
Provider Address
135 ELLIS AVENUE
NORWOOD, MA 2062
NORWOOD, MA 2062
Provider Phone Number
7817626880
Provider SSA County
130
Provider County Name
Norfolk
Ownership Type
For profit - Individual
Number of Certified Beds
191
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.66145
Reported LPN Staffing Hours per Resident per Day
1.08404
Reported RN Staffing Hours per Resident per Day
0.85904
Reported Licensed Staffing Hours per Resident per Day
1.94307
Reported Total Nurse Staffing Hours per Resident per Day
4.60453
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07771
Expected CNA Staffing Hours per Resident per Day
2.42859
Expected LPN Staffing Hours per Resident per Day
0.58035
Expected RN Staffing Hours per Resident per Day
0.87605
Expected Total Nurse Staffing Hours per Resident per Day
3.88499
Adjusted CNA Staffing Hours per Resident per Day
2.68896
Adjusted LPN Staffing Hours per Resident per Day
1.55036
Adjusted RN Staffing Hours per Resident per Day
0.73269
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77746
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-11
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
1
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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