Pilgrim Rehabilitation & Skilled Nursing Center - Peabody Nursing Home
General Information
UPDATEFederal Provider Number
225048
Provider Name
PILGRIM REHABILITATION & SKILLED NURSING CENTER
Provider Address
96 FOREST STREET
PEABODY, MA 1960
PEABODY, MA 1960
Provider Phone Number
(978) 532-0303
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEABODY MANAGEMENT SYSTEMS, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24630
Reported LPN Staffing Hours per Resident per Day
0.88148
Reported RN Staffing Hours per Resident per Day
0.90324
Reported Licensed Staffing Hours per Resident per Day
1.78472
Reported Total Nurse Staffing Hours per Resident per Day
4.03102
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05694
Expected CNA Staffing Hours per Resident per Day
2.49687
Expected LPN Staffing Hours per Resident per Day
0.64314
Expected RN Staffing Hours per Resident per Day
1.01485
Expected Total Nurse Staffing Hours per Resident per Day
4.15486
Adjusted CNA Staffing Hours per Resident per Day
2.20747
Adjusted LPN Staffing Hours per Resident per Day
1.13758
Adjusted RN Staffing Hours per Resident per Day
0.66502
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91075
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
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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