Park Place Rehabilitation & Skilled Care Center - Hyde Park Nursing Home
General Information
UPDATEFederal Provider Number
225375
Provider Name
PARK PLACE REHABILITATION & SKILLED CARE CENTER
Provider Address
113 CENTRAL AVEUNE
HYDE PARK, MA 2136
HYDE PARK, MA 2136
Provider Phone Number
(617) 361-2388
Provider SSA County
160
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GA HCR II HYDE PARK SNF TRS SUB LLC
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.94342
Reported LPN Staffing Hours per Resident per Day
0.73947
Reported RN Staffing Hours per Resident per Day
1.11316
Reported Licensed Staffing Hours per Resident per Day
1.85263
Reported Total Nurse Staffing Hours per Resident per Day
4.79605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15658
Expected CNA Staffing Hours per Resident per Day
2.34547
Expected LPN Staffing Hours per Resident per Day
0.60786
Expected RN Staffing Hours per Resident per Day
0.98753
Expected Total Nurse Staffing Hours per Resident per Day
3.94085
Adjusted CNA Staffing Hours per Resident per Day
3.07925
Adjusted LPN Staffing Hours per Resident per Day
1.00971
Adjusted RN Staffing Hours per Resident per Day
0.84226
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90564
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
2014-10-02
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
17
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
294
Cycle 2 Standard Health Survey Date
2013-07-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
294
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
2012-06-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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