Transitional Care Unit At Spaulding Hosp North Sho - Salem Nursing Home
General Information
UPDATEFederal Provider Number
225244
Provider Name
TRANSITIONAL CARE UNIT AT SPAULDING HOSP NORTH SHO
Provider Address
DOVE AVENUE
SALEM, MA 1970
SALEM, MA 1970
Provider Phone Number
(978) 745-9000
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
32
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.75625
Reported LPN Staffing Hours per Resident per Day
0.55313
Reported RN Staffing Hours per Resident per Day
2.88906
Reported Licensed Staffing Hours per Resident per Day
3.44219
Reported Total Nurse Staffing Hours per Resident per Day
6.19844
Reported Physical Therapist Staffing Hours per Resident Per Day
0.63750
Expected CNA Staffing Hours per Resident per Day
2.26095
Expected LPN Staffing Hours per Resident per Day
0.91637
Expected RN Staffing Hours per Resident per Day
1.95967
Expected Total Nurse Staffing Hours per Resident per Day
5.13700
Adjusted CNA Staffing Hours per Resident per Day
2.99123
Adjusted LPN Staffing Hours per Resident per Day
0.50099
Adjusted RN Staffing Hours per Resident per Day
1.10156
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86379
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
2015-04-17
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
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
2014-04-02
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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