Tcu-brockton Hospital - Brockton Nursing Home
General Information
UPDATEFederal Provider Number
225721
Provider Name
TCU-BROCKTON HOSPITAL
Provider Address
680 CENTRE STREET BLDG A LEVEL 3
BROCKTON, MA 2302
BROCKTON, MA 2302
Provider Phone Number
(508) 941-7000
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BROCKTON HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-01-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60000
Reported LPN Staffing Hours per Resident per Day
0.22750
Reported RN Staffing Hours per Resident per Day
4.05500
Reported Licensed Staffing Hours per Resident per Day
4.28250
Reported Total Nurse Staffing Hours per Resident per Day
6.88250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.88500
Expected CNA Staffing Hours per Resident per Day
2.37527
Expected LPN Staffing Hours per Resident per Day
0.88654
Expected RN Staffing Hours per Resident per Day
1.99805
Expected Total Nurse Staffing Hours per Resident per Day
5.25986
Adjusted CNA Staffing Hours per Resident per Day
2.68585
Adjusted LPN Staffing Hours per Resident per Day
0.21299
Adjusted RN Staffing Hours per Resident per Day
1.51642
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27441
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
9.33300
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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