Hathaway Manor Extended Care - New Bedford Nursing Home
General Information
UPDATEFederal Provider Number
225366
Provider Name
HATHAWAY MANOR EXTENDED CARE
Provider Address
863 HATHAWAY ROAD
NEW BEDFORD, MA 2740
NEW BEDFORD, MA 2740
Provider Phone Number
(508) 996-6763
Provider SSA County
20
Provider County Name
Bristol
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
142
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HATHAWAY MANOR NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-12
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
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
2.52324
Reported LPN Staffing Hours per Resident per Day
0.87746
Reported RN Staffing Hours per Resident per Day
0.63662
Reported Licensed Staffing Hours per Resident per Day
1.51408
Reported Total Nurse Staffing Hours per Resident per Day
4.03732
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06831
Expected CNA Staffing Hours per Resident per Day
2.43228
Expected LPN Staffing Hours per Resident per Day
0.63056
Expected RN Staffing Hours per Resident per Day
1.03055
Expected Total Nurse Staffing Hours per Resident per Day
4.09338
Adjusted CNA Staffing Hours per Resident per Day
2.54546
Adjusted LPN Staffing Hours per Resident per Day
1.15499
Adjusted RN Staffing Hours per Resident per Day
0.46158
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97569
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
548
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
274
Cycle 2 Total Health Score
822
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
315.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
128863
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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