Jeanne Jugan Residence - Somerville Nursing Home
General Information
UPDATEFederal Provider Number
225470
Provider Name
JEANNE JUGAN RESIDENCE
Provider Address
186 HIGHLAND AVENUE
SOMERVILLE, MA 2143
SOMERVILLE, MA 2143
Provider Phone Number
(617) 776-4420
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
26
Number of Residents in Certified Beds
23
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.14286
Reported LPN Staffing Hours per Resident per Day
0.29814
Reported RN Staffing Hours per Resident per Day
1.36646
Reported Licensed Staffing Hours per Resident per Day
1.66460
Reported Total Nurse Staffing Hours per Resident per Day
4.80746
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12391
Expected CNA Staffing Hours per Resident per Day
2.73922
Expected LPN Staffing Hours per Resident per Day
0.59668
Expected RN Staffing Hours per Resident per Day
0.90603
Expected Total Nurse Staffing Hours per Resident per Day
4.24194
Adjusted CNA Staffing Hours per Resident per Day
2.81527
Adjusted LPN Staffing Hours per Resident per Day
0.41472
Adjusted RN Staffing Hours per Resident per Day
1.12691
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56829
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-08-21
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
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
10465
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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