Madonna Manor Nursing Home - North Attleboro Nursing Home
General Information
UPDATEFederal Provider Number
225475
Provider Name
MADONNA MANOR NURSING HOME
Provider Address
85 NORTH WASHINGTON STREET
NORTH ATTLEBORO, MA 2760
NORTH ATTLEBORO, MA 2760
Provider Phone Number
5086992740
Provider SSA County
20
Provider County Name
Bristol
Ownership Type
Non profit - Church related
Number of Certified Beds
129
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MADONNA MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.76055
Reported LPN Staffing Hours per Resident per Day
0.48828
Reported RN Staffing Hours per Resident per Day
1.06406
Reported Licensed Staffing Hours per Resident per Day
1.55234
Reported Total Nurse Staffing Hours per Resident per Day
4.31289
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04727
Expected CNA Staffing Hours per Resident per Day
2.50206
Expected LPN Staffing Hours per Resident per Day
0.62501
Expected RN Staffing Hours per Resident per Day
1.01417
Expected Total Nurse Staffing Hours per Resident per Day
4.14124
Adjusted CNA Staffing Hours per Resident per Day
2.70720
Adjusted LPN Staffing Hours per Resident per Day
0.64842
Adjusted RN Staffing Hours per Resident per Day
0.78396
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19797
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
1
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
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
14788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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