Massachusetts Nursing Homes >> Haverhill Nursing Homes >> Penacook Place, Inc

Penacook Place, Inc - Haverhill Nursing Home

General Information

UPDATE
Federal Provider Number
225376
Provider Name
PENACOOK PLACE, INC
Provider Address
150 WATER STREET
HAVERHILL, MA 1830
Provider Phone Number
9783740707
Provider SSA County
40
Provider County Name
Essex
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENACOOK PLACE, 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
Resident
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
2
QM Rating Footnote
Staffing Rating
4
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
2.70620
Reported LPN Staffing Hours per Resident per Day
0.81628
Reported RN Staffing Hours per Resident per Day
0.87016
Reported Licensed Staffing Hours per Resident per Day
1.68643
Reported Total Nurse Staffing Hours per Resident per Day
4.39264
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08256
Expected CNA Staffing Hours per Resident per Day
2.56935
Expected LPN Staffing Hours per Resident per Day
0.58756
Expected RN Staffing Hours per Resident per Day
0.86354
Expected Total Nurse Staffing Hours per Resident per Day
4.02045
Adjusted CNA Staffing Hours per Resident per Day
2.58439
Adjusted LPN Staffing Hours per Resident per Day
1.15310
Adjusted RN Staffing Hours per Resident per Day
0.75292
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40406
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
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
2012-10-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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