Park Avenue Health Center - Arlington Nursing Home
General Information
UPDATEFederal Provider Number
225584
Provider Name
PARK AVENUE HEALTH CENTER
Provider Address
146 PARK AVENUE
ARLINGTON, MA 2174
ARLINGTON, MA 2174
Provider Phone Number
(781) 648-9530
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
89
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK AVENUE HEALTH CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.99817
Reported LPN Staffing Hours per Resident per Day
0.47500
Reported RN Staffing Hours per Resident per Day
1.13598
Reported Licensed Staffing Hours per Resident per Day
1.61098
Reported Total Nurse Staffing Hours per Resident per Day
3.60915
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32500
Expected CNA Staffing Hours per Resident per Day
2.43148
Expected LPN Staffing Hours per Resident per Day
0.61817
Expected RN Staffing Hours per Resident per Day
1.02744
Expected Total Nurse Staffing Hours per Resident per Day
4.07710
Adjusted CNA Staffing Hours per Resident per Day
2.01643
Adjusted LPN Staffing Hours per Resident per Day
0.63777
Adjusted RN Staffing Hours per Resident per Day
0.82614
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56826
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-08-14
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
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
2012-08-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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