Pavilion , The - Hyannis Nursing Home
General Information
UPDATEFederal Provider Number
225503
Provider Name
PAVILION , THE
Provider Address
876 FALMOUTH ROAD
HYANNIS, MA 2601
HYANNIS, MA 2601
Provider Phone Number
(508) 775-6663
Provider SSA County
0
Provider County Name
Barnstable
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
82
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESSEX PAVILION, 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
2
Health Inspection Rating Footnote
QM Rating
3
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
1.96419
Reported LPN Staffing Hours per Resident per Day
0.47432
Reported RN Staffing Hours per Resident per Day
1.19595
Reported Licensed Staffing Hours per Resident per Day
1.67027
Reported Total Nurse Staffing Hours per Resident per Day
3.63446
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11284
Expected CNA Staffing Hours per Resident per Day
2.42411
Expected LPN Staffing Hours per Resident per Day
0.63171
Expected RN Staffing Hours per Resident per Day
1.00163
Expected Total Nurse Staffing Hours per Resident per Day
4.05746
Adjusted CNA Staffing Hours per Resident per Day
1.98817
Adjusted LPN Staffing Hours per Resident per Day
0.62320
Adjusted RN Staffing Hours per Resident per Day
0.89216
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61067
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
2012-09-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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