Plymouth Rehabilitation & Health Care Center - Plymouth Nursing Home
General Information
UPDATEFederal Provider Number
225207
Provider Name
PLYMOUTH REHABILITATION & HEALTH CARE CENTER
Provider Address
123 SOUTH STREET
PLYMOUTH, MA 2360
PLYMOUTH, MA 2360
Provider Phone Number
5087464343
Provider SSA County
150
Provider County Name
Plymouth
Ownership Type
For profit - Corporation
Number of Certified Beds
186
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLYMOUTH MA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1972-01-28
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.26199
Reported LPN Staffing Hours per Resident per Day
1.04269
Reported RN Staffing Hours per Resident per Day
0.64942
Reported Licensed Staffing Hours per Resident per Day
1.69211
Reported Total Nurse Staffing Hours per Resident per Day
3.95410
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07602
Expected CNA Staffing Hours per Resident per Day
2.52430
Expected LPN Staffing Hours per Resident per Day
0.67195
Expected RN Staffing Hours per Resident per Day
0.94438
Expected Total Nurse Staffing Hours per Resident per Day
4.14063
Adjusted CNA Staffing Hours per Resident per Day
2.19873
Adjusted LPN Staffing Hours per Resident per Day
1.28794
Adjusted RN Staffing Hours per Resident per Day
0.51383
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84931
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-14
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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