St Joseph Manor Health Care Inc - Brockton Nursing Home
General Information
UPDATEFederal Provider Number
225414
Provider Name
ST JOSEPH MANOR HEALTH CARE INC
Provider Address
215 THATCHER STREET
BROCKTON, MA 2302
BROCKTON, MA 2302
Provider Phone Number
(508) 583-5834
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. JOSEPH MANOR HEALTH CARE, INC.
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.81909
Reported LPN Staffing Hours per Resident per Day
0.97136
Reported RN Staffing Hours per Resident per Day
0.71500
Reported Licensed Staffing Hours per Resident per Day
1.68636
Reported Total Nurse Staffing Hours per Resident per Day
4.50545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07273
Expected CNA Staffing Hours per Resident per Day
2.42460
Expected LPN Staffing Hours per Resident per Day
0.62772
Expected RN Staffing Hours per Resident per Day
1.03857
Expected Total Nurse Staffing Hours per Resident per Day
4.09089
Adjusted CNA Staffing Hours per Resident per Day
2.85292
Adjusted LPN Staffing Hours per Resident per Day
1.28438
Adjusted RN Staffing Hours per Resident per Day
0.51441
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43938
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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