Wingate At Haverhill Rehab & Skilled Nursing Resid - Haverhill Nursing Home
General Information
UPDATEFederal Provider Number
225404
Provider Name
WINGATE AT HAVERHILL REHAB & SKILLED NURSING RESID
Provider Address
190 NORTH AVENUE
HAVERHILL, MA 1830
HAVERHILL, MA 1830
Provider Phone Number
(978) 372-7700
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
116
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.37112
Reported LPN Staffing Hours per Resident per Day
0.80905
Reported RN Staffing Hours per Resident per Day
0.99224
Reported Licensed Staffing Hours per Resident per Day
1.80129
Reported Total Nurse Staffing Hours per Resident per Day
4.17241
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07802
Expected CNA Staffing Hours per Resident per Day
2.49987
Expected LPN Staffing Hours per Resident per Day
0.62517
Expected RN Staffing Hours per Resident per Day
0.97243
Expected Total Nurse Staffing Hours per Resident per Day
4.09747
Adjusted CNA Staffing Hours per Resident per Day
2.32733
Adjusted LPN Staffing Hours per Resident per Day
1.07413
Adjusted RN Staffing Hours per Resident per Day
0.76242
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10462
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
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
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
9328
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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