Wingate At Silver Lake Rehab & Skilled Nursing Res - Kingston Nursing Home
General Information
UPDATEFederal Provider Number
225544
Provider Name
WINGATE AT SILVER LAKE REHAB & SKILLED NURSING RES
Provider Address
17 CHIPMAN WAY
KINGSTON, MA 2364
KINGSTON, MA 2364
Provider Phone Number
(781) 585-4100
Provider SSA County
150
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
164
Number of Residents in Certified Beds
137
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR RESIDENTIAL CARE - KINGSTON, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
3.00620
Reported LPN Staffing Hours per Resident per Day
0.78212
Reported RN Staffing Hours per Resident per Day
1.11058
Reported Licensed Staffing Hours per Resident per Day
1.89270
Reported Total Nurse Staffing Hours per Resident per Day
4.89890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12883
Expected CNA Staffing Hours per Resident per Day
2.71999
Expected LPN Staffing Hours per Resident per Day
0.59067
Expected RN Staffing Hours per Resident per Day
0.94069
Expected Total Nurse Staffing Hours per Resident per Day
4.25135
Adjusted CNA Staffing Hours per Resident per Day
2.71189
Adjusted LPN Staffing Hours per Resident per Day
1.09903
Adjusted RN Staffing Hours per Resident per Day
0.88215
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64488
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
4
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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