Maristhill Nursing & Rehabilitation Center - Waltham Nursing Home
General Information
UPDATEFederal Provider Number
225408
Provider Name
MARISTHILL NURSING & REHABILITATION CENTER
Provider Address
66 NEWTON STREET
WALTHAM, MA 2453
WALTHAM, MA 2453
Provider Phone Number
(781) 893-0240
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
123
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHS OF WALTHAM 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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.49355
Reported LPN Staffing Hours per Resident per Day
0.80484
Reported RN Staffing Hours per Resident per Day
0.78011
Reported Licensed Staffing Hours per Resident per Day
1.58495
Reported Total Nurse Staffing Hours per Resident per Day
4.07850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17903
Expected CNA Staffing Hours per Resident per Day
2.55030
Expected LPN Staffing Hours per Resident per Day
0.62108
Expected RN Staffing Hours per Resident per Day
0.98051
Expected Total Nurse Staffing Hours per Resident per Day
4.15189
Adjusted CNA Staffing Hours per Resident per Day
2.39910
Adjusted LPN Staffing Hours per Resident per Day
1.07557
Adjusted RN Staffing Hours per Resident per Day
0.59448
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95965
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
2014-07-15
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
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
2012-03-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
30713
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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