Life Care Center Of Plymouth - Plymouth Nursing Home

General Information

UPDATE
Federal Provider Number
225666
Provider Name
LIFE CARE CENTER OF PLYMOUTH
Provider Address
94 OBERY STREET
PLYMOUTH, MA 2360
Provider Phone Number
(508) 747-9800
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
150
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLYMOUTH MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1995-02-10
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00766
Reported LPN Staffing Hours per Resident per Day
1.12555
Reported RN Staffing Hours per Resident per Day
0.62737
Reported Licensed Staffing Hours per Resident per Day
1.75292
Reported Total Nurse Staffing Hours per Resident per Day
3.76058
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23686
Expected CNA Staffing Hours per Resident per Day
2.60565
Expected LPN Staffing Hours per Resident per Day
0.67247
Expected RN Staffing Hours per Resident per Day
1.10958
Expected Total Nurse Staffing Hours per Resident per Day
4.38770
Adjusted CNA Staffing Hours per Resident per Day
1.89058
Adjusted LPN Staffing Hours per Resident per Day
1.38921
Adjusted RN Staffing Hours per Resident per Day
0.42248
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45477
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
2013-04-29
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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