Prescott House - North Andover Nursing Home

General Information

UPDATE
Federal Provider Number
225510
Provider Name
PRESCOTT HOUSE
Provider Address
140 PRESCOTT STREET
NORTH ANDOVER, MA 1845
Provider Phone Number
9786858086
Provider SSA County
40
Provider County Name
Essex
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.26008
Reported LPN Staffing Hours per Resident per Day
0.89244
Reported RN Staffing Hours per Resident per Day
0.83613
Reported Licensed Staffing Hours per Resident per Day
1.72857
Reported Total Nurse Staffing Hours per Resident per Day
3.98865
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13529
Expected CNA Staffing Hours per Resident per Day
2.54844
Expected LPN Staffing Hours per Resident per Day
0.63870
Expected RN Staffing Hours per Resident per Day
1.11243
Expected Total Nurse Staffing Hours per Resident per Day
4.29958
Adjusted CNA Staffing Hours per Resident per Day
2.17606
Adjusted LPN Staffing Hours per Resident per Day
1.15973
Adjusted RN Staffing Hours per Resident per Day
0.56161
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73940
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-08
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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