Randolph Health Care Center - Randolph Nursing Home
General Information
UPDATEFederal Provider Number
225356
Provider Name
RANDOLPH HEALTH CARE CENTER
Provider Address
49 THOMAS PATTEN DRIVE
RANDOLPH, MA 2368
RANDOLPH, MA 2368
Provider Phone Number
7819611160
Provider SSA County
130
Provider County Name
Norfolk
Ownership Type
For profit - Corporation
Number of Certified Beds
168
Number of Residents in Certified Beds
164
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
49 THOMAS PATTEN DRIVE OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.98567
Reported LPN Staffing Hours per Resident per Day
0.74604
Reported RN Staffing Hours per Resident per Day
0.71585
Reported Licensed Staffing Hours per Resident per Day
1.46189
Reported Total Nurse Staffing Hours per Resident per Day
3.44756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07165
Expected CNA Staffing Hours per Resident per Day
2.32309
Expected LPN Staffing Hours per Resident per Day
0.61762
Expected RN Staffing Hours per Resident per Day
0.97776
Expected Total Nurse Staffing Hours per Resident per Day
3.91848
Adjusted CNA Staffing Hours per Resident per Day
2.09731
Adjusted LPN Staffing Hours per Resident per Day
1.00257
Adjusted RN Staffing Hours per Resident per Day
0.54705
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54647
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
8
Cycle 1 Standard Survey Health Date
2015-02-24
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
15405
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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