Grosvenor Park - Salem Nursing Home
General Information
UPDATEFederal Provider Number
225644
Provider Name
GROSVENOR PARK
Provider Address
7 LORING HILLS AVENUE
SALEM, MA 1970
SALEM, MA 1970
Provider Phone Number
(978) 741-5700
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROSVENOR PARK NURSING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1994-08-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.70398
Reported LPN Staffing Hours per Resident per Day
0.94292
Reported RN Staffing Hours per Resident per Day
0.83496
Reported Licensed Staffing Hours per Resident per Day
1.77788
Reported Total Nurse Staffing Hours per Resident per Day
4.48186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16991
Expected CNA Staffing Hours per Resident per Day
2.53571
Expected LPN Staffing Hours per Resident per Day
0.61044
Expected RN Staffing Hours per Resident per Day
1.02709
Expected Total Nurse Staffing Hours per Resident per Day
4.17323
Adjusted CNA Staffing Hours per Resident per Day
2.61652
Adjusted LPN Staffing Hours per Resident per Day
1.28208
Adjusted RN Staffing Hours per Resident per Day
0.60743
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32900
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-06-19
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
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
2012-06-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
2
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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