Massachusetts Nursing Homes >> Haverhill Nursing Homes >> Lakeview House Skld Nrsg And Residential Care Fac

Lakeview House Skld Nrsg And Residential Care Fac - Haverhill Nursing Home

General Information

UPDATE
Federal Provider Number
225401
Provider Name
LAKEVIEW HOUSE SKLD NRSG AND RESIDENTIAL CARE FAC
Provider Address
87 SHATTUCK STREET
HAVERHILL, MA 1830
Provider Phone Number
(978) 372-1081
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
26
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEVIEW HOUSE 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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.69231
Reported LPN Staffing Hours per Resident per Day
1.03269
Reported RN Staffing Hours per Resident per Day
0.96923
Reported Licensed Staffing Hours per Resident per Day
2.00192
Reported Total Nurse Staffing Hours per Resident per Day
4.69423
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00192
Expected CNA Staffing Hours per Resident per Day
2.09802
Expected LPN Staffing Hours per Resident per Day
0.53346
Expected RN Staffing Hours per Resident per Day
0.77005
Expected Total Nurse Staffing Hours per Resident per Day
3.40153
Adjusted CNA Staffing Hours per Resident per Day
3.14875
Adjusted LPN Staffing Hours per Resident per Day
1.60673
Adjusted RN Staffing Hours per Resident per Day
0.94047
Adjusted Total Nurse Staffing Hours per Resident per Day
5.56279
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
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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