Queen Anne Nursing Home, Inc - Hingham Nursing Home
General Information
UPDATEFederal Provider Number
225254
Provider Name
QUEEN ANNE NURSING HOME, INC
Provider Address
50 RECREATION PARK DRIVE
HINGHAM, MA 2043
HINGHAM, MA 2043
Provider Phone Number
7817494982
Provider SSA County
150
Provider County Name
Plymouth
Ownership Type
For profit - Partnership
Number of Certified Beds
106
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QUEEN ANNE NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1979-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.49167
Reported LPN Staffing Hours per Resident per Day
0.62451
Reported RN Staffing Hours per Resident per Day
0.87206
Reported Licensed Staffing Hours per Resident per Day
1.49657
Reported Total Nurse Staffing Hours per Resident per Day
3.98824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02647
Expected CNA Staffing Hours per Resident per Day
2.51210
Expected LPN Staffing Hours per Resident per Day
0.61344
Expected RN Staffing Hours per Resident per Day
0.94710
Expected Total Nurse Staffing Hours per Resident per Day
4.07263
Adjusted CNA Staffing Hours per Resident per Day
2.43375
Adjusted LPN Staffing Hours per Resident per Day
0.84498
Adjusted RN Staffing Hours per Resident per Day
0.68800
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94737
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
24
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-10
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2803
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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