Stonehedge Health Care Center - W Roxbury Nursing Home
General Information
UPDATEFederal Provider Number
225429
Provider Name
STONEHEDGE HEALTH CARE CENTER
Provider Address
5 REDLANDS ROAD
W ROXBURY, MA 2132
W ROXBURY, MA 2132
Provider Phone Number
6173276325
Provider SSA County
160
Provider County Name
Suffolk
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEHEDGE MA SNF LLC
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.39276
Reported LPN Staffing Hours per Resident per Day
0.64605
Reported RN Staffing Hours per Resident per Day
0.80592
Reported Licensed Staffing Hours per Resident per Day
1.45197
Reported Total Nurse Staffing Hours per Resident per Day
3.84473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09013
Expected CNA Staffing Hours per Resident per Day
2.59282
Expected LPN Staffing Hours per Resident per Day
0.62236
Expected RN Staffing Hours per Resident per Day
0.91685
Expected Total Nurse Staffing Hours per Resident per Day
4.13203
Adjusted CNA Staffing Hours per Resident per Day
2.26438
Adjusted LPN Staffing Hours per Resident per Day
0.86159
Adjusted RN Staffing Hours per Resident per Day
0.65679
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75063
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-05
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
16
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
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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