M I Nursing & Restorative Center - Lawrence Nursing Home
General Information
UPDATEFederal Provider Number
225154
Provider Name
M I NURSING & RESTORATIVE CENTER
Provider Address
172 LAWRENCE STREET
LAWRENCE, MA 1841
LAWRENCE, MA 1841
Provider Phone Number
(978) 685-6321
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
250
Number of Residents in Certified Beds
225
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MI NURSING RESTORATIVE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1968-03-13
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28711
Reported LPN Staffing Hours per Resident per Day
1.02022
Reported RN Staffing Hours per Resident per Day
0.44111
Reported Licensed Staffing Hours per Resident per Day
1.46133
Reported Total Nurse Staffing Hours per Resident per Day
3.74844
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07689
Expected CNA Staffing Hours per Resident per Day
2.48537
Expected LPN Staffing Hours per Resident per Day
0.58813
Expected RN Staffing Hours per Resident per Day
0.91582
Expected Total Nurse Staffing Hours per Resident per Day
3.98932
Adjusted CNA Staffing Hours per Resident per Day
2.25797
Adjusted LPN Staffing Hours per Resident per Day
1.43979
Adjusted RN Staffing Hours per Resident per Day
0.35989
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78751
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
24
Cycle 1 Standard Survey Health Date
2014-05-21
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-06-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
2
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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