Hathorne Hill - Danvers Nursing Home
General Information
UPDATEFederal Provider Number
225449
Provider Name
HATHORNE HILL
Provider Address
14 KIRKBRIDE DRIVE
DANVERS, MA 1923
DANVERS, MA 1923
Provider Phone Number
(978) 774-6955
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
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
1990-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.20000
Reported LPN Staffing Hours per Resident per Day
0.77936
Reported RN Staffing Hours per Resident per Day
1.04450
Reported Licensed Staffing Hours per Resident per Day
1.82385
Reported Total Nurse Staffing Hours per Resident per Day
4.02386
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21101
Expected CNA Staffing Hours per Resident per Day
2.49998
Expected LPN Staffing Hours per Resident per Day
0.62912
Expected RN Staffing Hours per Resident per Day
1.08992
Expected Total Nurse Staffing Hours per Resident per Day
4.21902
Adjusted CNA Staffing Hours per Resident per Day
2.15928
Adjusted LPN Staffing Hours per Resident per Day
1.02821
Adjusted RN Staffing Hours per Resident per Day
0.71606
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84444
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
20.66700
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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