Sippican Healthcare Center - Marion Nursing Home
General Information
UPDATEFederal Provider Number
225518
Provider Name
SIPPICAN HEALTHCARE CENTER
Provider Address
15 MILL STREET
MARION, MA 2738
MARION, MA 2738
Provider Phone Number
(508) 748-3830
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MRN CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1990-06-21
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61741
Reported LPN Staffing Hours per Resident per Day
1.09152
Reported RN Staffing Hours per Resident per Day
0.62768
Reported Licensed Staffing Hours per Resident per Day
1.71920
Reported Total Nurse Staffing Hours per Resident per Day
4.33661
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06875
Expected CNA Staffing Hours per Resident per Day
2.35161
Expected LPN Staffing Hours per Resident per Day
0.65721
Expected RN Staffing Hours per Resident per Day
1.14141
Expected Total Nurse Staffing Hours per Resident per Day
4.15023
Adjusted CNA Staffing Hours per Resident per Day
2.73104
Adjusted LPN Staffing Hours per Resident per Day
1.37849
Adjusted RN Staffing Hours per Resident per Day
0.41090
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21192
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
2
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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