Wingate At Andover Rehab & Skilled Nursing Res - Andover Nursing Home

General Information

UPDATE
Federal Provider Number
225558
Provider Name
WINGATE AT ANDOVER REHAB & SKILLED NURSING RES
Provider Address
80 ANDOVER STREET
ANDOVER, MA 1810
Provider Phone Number
9784703434
Provider SSA County
40
Provider County Name
Essex
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINGATE AT ANDOVER, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.30542
Reported LPN Staffing Hours per Resident per Day
1.29417
Reported RN Staffing Hours per Resident per Day
1.23708
Reported Licensed Staffing Hours per Resident per Day
2.53125
Reported Total Nurse Staffing Hours per Resident per Day
4.83667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12083
Expected CNA Staffing Hours per Resident per Day
2.42034
Expected LPN Staffing Hours per Resident per Day
0.62532
Expected RN Staffing Hours per Resident per Day
1.00685
Expected Total Nurse Staffing Hours per Resident per Day
4.05251
Adjusted CNA Staffing Hours per Resident per Day
2.33719
Adjusted LPN Staffing Hours per Resident per Day
1.71779
Adjusted RN Staffing Hours per Resident per Day
0.91805
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81087
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-13
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
279
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
279
Total Weighted Health Survey Score
66.50000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
95654
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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