Life Care Center Of Stoneham - Stoneham Nursing Home
General Information
UPDATEFederal Provider Number
225732
Provider Name
LIFE CARE CENTER OF STONEHAM
Provider Address
25 WOODLAND ROAD
STONEHAM, MA 2180
STONEHAM, MA 2180
Provider Phone Number
(781) 662-2545
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEHAM MEDICAL INVESTORS LTD
Date First Approved to Provide Medicare and Medicaid services
1997-08-12
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
5
QM Rating Footnote
Staffing Rating
3
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
1.89787
Reported LPN Staffing Hours per Resident per Day
0.74362
Reported RN Staffing Hours per Resident per Day
1.01649
Reported Licensed Staffing Hours per Resident per Day
1.76011
Reported Total Nurse Staffing Hours per Resident per Day
3.65798
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17766
Expected CNA Staffing Hours per Resident per Day
2.66410
Expected LPN Staffing Hours per Resident per Day
0.67808
Expected RN Staffing Hours per Resident per Day
1.15047
Expected Total Nurse Staffing Hours per Resident per Day
4.49265
Adjusted CNA Staffing Hours per Resident per Day
1.74798
Adjusted LPN Staffing Hours per Resident per Day
0.91023
Adjusted RN Staffing Hours per Resident per Day
0.66018
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28202
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-01
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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