Medway Country Manor Skilled Nursing & Rehab Ctr - Medway Nursing Home
General Information
UPDATEFederal Provider Number
225412
Provider Name
MEDWAY COUNTRY MANOR SKILLED NURSING & REHAB CTR
Provider Address
115 HOLLISTON STREET
MEDWAY, MA 2053
MEDWAY, MA 2053
Provider Phone Number
(508) 533-6634
Provider SSA County
130
Provider County Name
Norfolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDWAY COUNTRY 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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.63538
Reported LPN Staffing Hours per Resident per Day
1.19198
Reported RN Staffing Hours per Resident per Day
1.05519
Reported Licensed Staffing Hours per Resident per Day
2.24717
Reported Total Nurse Staffing Hours per Resident per Day
4.88255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06557
Expected CNA Staffing Hours per Resident per Day
2.54574
Expected LPN Staffing Hours per Resident per Day
0.63390
Expected RN Staffing Hours per Resident per Day
0.98509
Expected Total Nurse Staffing Hours per Resident per Day
4.16473
Adjusted CNA Staffing Hours per Resident per Day
2.54010
Adjusted LPN Staffing Hours per Resident per Day
1.56071
Adjusted RN Staffing Hours per Resident per Day
0.80037
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72565
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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