Methuen Health & Rehabilitation Center - Methuen Nursing Home

General Information

UPDATE
Federal Provider Number
225333
Provider Name
METHUEN HEALTH & REHABILITATION CENTER
Provider Address
480 JACKSON STREET
METHUEN, MA 1844
Provider Phone Number
9786863906
Provider SSA County
40
Provider County Name
Essex
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC METHUEN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-14
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
5
Health Inspection Rating Footnote
QM Rating
4
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
2.04709
Reported LPN Staffing Hours per Resident per Day
0.96686
Reported RN Staffing Hours per Resident per Day
0.79826
Reported Licensed Staffing Hours per Resident per Day
1.76512
Reported Total Nurse Staffing Hours per Resident per Day
3.81221
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05058
Expected CNA Staffing Hours per Resident per Day
2.48234
Expected LPN Staffing Hours per Resident per Day
0.61145
Expected RN Staffing Hours per Resident per Day
0.96650
Expected Total Nurse Staffing Hours per Resident per Day
4.06029
Adjusted CNA Staffing Hours per Resident per Day
2.02347
Adjusted LPN Staffing Hours per Resident per Day
1.31244
Adjusted RN Staffing Hours per Resident per Day
0.61713
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78461
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
2014-11-25
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-30
Cycle 2 Number of Health Revisits
0
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
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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