Kindred Transitional Care & Rehabilitation-avery - Needham Nursing Home
General Information
UPDATEFederal Provider Number
225674
Provider Name
KINDRED TRANSITIONAL CARE & REHABILITATION-AVERY
Provider Address
100 WEST STREET
NEEDHAM, MA 2194
NEEDHAM, MA 2194
Provider Phone Number
(781) 234-6300
Provider SSA County
130
Provider County Name
Norfolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVERY MANOR NURSING, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1995-05-10
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
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
2.19733
Reported LPN Staffing Hours per Resident per Day
0.93779
Reported RN Staffing Hours per Resident per Day
0.85382
Reported Licensed Staffing Hours per Resident per Day
1.79160
Reported Total Nurse Staffing Hours per Resident per Day
3.98894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17443
Expected CNA Staffing Hours per Resident per Day
2.48659
Expected LPN Staffing Hours per Resident per Day
0.67136
Expected RN Staffing Hours per Resident per Day
1.09822
Expected Total Nurse Staffing Hours per Resident per Day
4.25617
Adjusted CNA Staffing Hours per Resident per Day
2.16827
Adjusted LPN Staffing Hours per Resident per Day
1.15939
Adjusted RN Staffing Hours per Resident per Day
0.58092
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77781
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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