Hannah Duston Healthcare Center - Haverhill Nursing Home
General Information
UPDATEFederal Provider Number
225290
Provider Name
HANNAH DUSTON HEALTHCARE CENTER
Provider Address
126 MONUMENT STREET
HAVERHILL, MA 1832
HAVERHILL, MA 1832
Provider Phone Number
(978) 373-1747
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HDH CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1986-11-26
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.58364
Reported LPN Staffing Hours per Resident per Day
1.02636
Reported RN Staffing Hours per Resident per Day
0.77864
Reported Licensed Staffing Hours per Resident per Day
1.80500
Reported Total Nurse Staffing Hours per Resident per Day
4.38864
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09136
Expected CNA Staffing Hours per Resident per Day
2.52291
Expected LPN Staffing Hours per Resident per Day
0.65294
Expected RN Staffing Hours per Resident per Day
0.99759
Expected Total Nurse Staffing Hours per Resident per Day
4.17344
Adjusted CNA Staffing Hours per Resident per Day
2.51277
Adjusted LPN Staffing Hours per Resident per Day
1.30469
Adjusted RN Staffing Hours per Resident per Day
0.58320
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23875
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
18850
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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