Life Care Center Of The North Shore - Lynn Nursing Home
General Information
UPDATEFederal Provider Number
225529
Provider Name
LIFE CARE CENTER OF THE NORTH SHORE
Provider Address
111 BIRCH STREET
LYNN, MA 1902
LYNN, MA 1902
Provider Phone Number
(781) 592-9667
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
123
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LYNN MEDICAL INVESTORS LP
Date First Approved to Provide Medicare and Medicaid services
1990-12-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.25702
Reported LPN Staffing Hours per Resident per Day
0.67105
Reported RN Staffing Hours per Resident per Day
1.03728
Reported Licensed Staffing Hours per Resident per Day
1.70833
Reported Total Nurse Staffing Hours per Resident per Day
3.96535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.66398
Expected LPN Staffing Hours per Resident per Day
0.62341
Expected RN Staffing Hours per Resident per Day
0.96967
Expected Total Nurse Staffing Hours per Resident per Day
4.25706
Adjusted CNA Staffing Hours per Resident per Day
2.07886
Adjusted LPN Staffing Hours per Resident per Day
0.89342
Adjusted RN Staffing Hours per Resident per Day
0.79930
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75468
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-04-02
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
4
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.66700
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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