Essex Park Rehabilitation And Nursing Center - Beverly Nursing Home

General Information

UPDATE
Federal Provider Number
225270
Provider Name
ESSEX PARK REHABILITATION AND NURSING CENTER
Provider Address
265 ESSEX STREET
BEVERLY, MA 1915
Provider Phone Number
(978) 927-3260
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
202
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
265 ESSEX STREET OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99942
Reported LPN Staffing Hours per Resident per Day
0.90260
Reported RN Staffing Hours per Resident per Day
0.58179
Reported Licensed Staffing Hours per Resident per Day
1.48439
Reported Total Nurse Staffing Hours per Resident per Day
3.48381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07832
Expected CNA Staffing Hours per Resident per Day
2.47416
Expected LPN Staffing Hours per Resident per Day
0.63774
Expected RN Staffing Hours per Resident per Day
1.03735
Expected Total Nurse Staffing Hours per Resident per Day
4.14925
Adjusted CNA Staffing Hours per Resident per Day
1.98288
Adjusted LPN Staffing Hours per Resident per Day
1.17470
Adjusted RN Staffing Hours per Resident per Day
0.41906
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38444
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-10-29
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
2
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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