Lighthouse Nursing Care Center - Revere Nursing Home
General Information
UPDATEFederal Provider Number
225297
Provider Name
LIGHTHOUSE NURSING CARE CENTER
Provider Address
204 PROCTOR AVENUE
REVERE, MA 2151
REVERE, MA 2151
Provider Phone Number
(781) 286-3100
Provider SSA County
160
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIGHTHOUSE OF REVERE, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-05-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.66532
Reported LPN Staffing Hours per Resident per Day
0.92793
Reported RN Staffing Hours per Resident per Day
0.81892
Reported Licensed Staffing Hours per Resident per Day
1.74685
Reported Total Nurse Staffing Hours per Resident per Day
4.41217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09144
Expected CNA Staffing Hours per Resident per Day
2.45913
Expected LPN Staffing Hours per Resident per Day
0.62599
Expected RN Staffing Hours per Resident per Day
1.11974
Expected Total Nurse Staffing Hours per Resident per Day
4.20486
Adjusted CNA Staffing Hours per Resident per Day
2.65943
Adjusted LPN Staffing Hours per Resident per Day
1.23034
Adjusted RN Staffing Hours per Resident per Day
0.54646
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22963
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
24
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
26163
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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