Lafayette Rehabilitation & Skilled Nursing Facilit - Marblehead Nursing Home
General Information
UPDATEFederal Provider Number
225411
Provider Name
LAFAYETTE REHABILITATION & SKILLED NURSING FACILIT
Provider Address
25 LAFAYETTE STREET
MARBLEHEAD, MA 1945
MARBLEHEAD, MA 1945
Provider Phone Number
(781) 631-4535
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC.
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.23710
Reported LPN Staffing Hours per Resident per Day
0.68871
Reported RN Staffing Hours per Resident per Day
0.72581
Reported Licensed Staffing Hours per Resident per Day
1.41452
Reported Total Nurse Staffing Hours per Resident per Day
3.65162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53686
Expected LPN Staffing Hours per Resident per Day
0.58895
Expected RN Staffing Hours per Resident per Day
0.88212
Expected Total Nurse Staffing Hours per Resident per Day
4.00793
Adjusted CNA Staffing Hours per Resident per Day
2.16377
Adjusted LPN Staffing Hours per Resident per Day
0.97059
Adjusted RN Staffing Hours per Resident per Day
0.61480
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67255
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-03-28
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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