West Revere Health Center - Revere Nursing Home

General Information

UPDATE
Federal Provider Number
225432
Provider Name
WEST REVERE HEALTH CENTER
Provider Address
133 SALEM STREET
REVERE, MA 2151
Provider Phone Number
(781) 322-4861
Provider SSA County
160
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
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
5
QM Rating Footnote
Staffing Rating
3
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
2.20064
Reported LPN Staffing Hours per Resident per Day
0.96987
Reported RN Staffing Hours per Resident per Day
0.50064
Reported Licensed Staffing Hours per Resident per Day
1.47051
Reported Total Nurse Staffing Hours per Resident per Day
3.67115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03205
Expected CNA Staffing Hours per Resident per Day
2.55577
Expected LPN Staffing Hours per Resident per Day
0.61036
Expected RN Staffing Hours per Resident per Day
0.91470
Expected Total Nurse Staffing Hours per Resident per Day
4.08083
Adjusted CNA Staffing Hours per Resident per Day
2.11276
Adjusted LPN Staffing Hours per Resident per Day
1.31888
Adjusted RN Staffing Hours per Resident per Day
0.40896
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62623
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
2014-10-22
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
455
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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