Nevins Nursing & Rehabilitation Center - Methuen Nursing Home
General Information
UPDATEFederal Provider Number
225409
Provider Name
NEVINS NURSING & REHABILITATION CENTER
Provider Address
TEN INGALLS COURT
METHUEN, MA 1844
METHUEN, MA 1844
Provider Phone Number
(978) 682-7611
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY C. NEVINS HOME 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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.81926
Reported LPN Staffing Hours per Resident per Day
0.72432
Reported RN Staffing Hours per Resident per Day
0.34392
Reported Licensed Staffing Hours per Resident per Day
1.06824
Reported Total Nurse Staffing Hours per Resident per Day
2.88750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06655
Expected CNA Staffing Hours per Resident per Day
2.51791
Expected LPN Staffing Hours per Resident per Day
0.55999
Expected RN Staffing Hours per Resident per Day
0.80171
Expected Total Nurse Staffing Hours per Resident per Day
3.87961
Adjusted CNA Staffing Hours per Resident per Day
1.77287
Adjusted LPN Staffing Hours per Resident per Day
1.07357
Adjusted RN Staffing Hours per Resident per Day
0.32054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00010
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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