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PLYMOUTH HARBORSIDE HEALTHCARE

Overall Rating

SFF Candidate

Address

19 Obery Street

Plymouth, MA 02360

Contact

5087474790

Certification Date

1985-03-01

Details

CMS Certification Number

225284

Ownership Type

For profit - Corporation

Number of Certified Beds

101

Average Number of Residents per Day

84.3

Provider Type

Medicare and Medicaid

Legal Business Name

19 OBERY STREET OPERATOR LLC

Affiliated Entity Name

NEXT STEP HEALTHCARE

Affiliated Entity ID

371

Ratings

Health Inspection Rating

1

Quality Measure Rating

2

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.77854

Reported LPN Staffing Hours per Resident per Day

0.73092

Reported RN Staffing Hours per Resident per Day

0.68478

Reported Total Nurse Staffing Hours per Resident per Day

3.19423

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.77340

Registered Nurse Hours per Resident per Day on the Weekend

0.41982

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02739

Quality Measures

Long-Stay Quality Measure Rating

1

Short-Stay Quality Measure Rating

2

Inspections

Total Weighted Health Survey Score

325.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

4

Number of Citations from Infection Control Inspections

2

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-08-30

Total Number of Health Deficiencies

25

Number of Standard Health Deficiencies

21

Number of Complaint Health Deficiencies

4

Health Deficiency Score

297

Number of Health Revisits

2

Health Revisit Score

149

Total Health Score

446

Rating Cycle 2

Standard Health Survey Date

2021-03-18

Total Number of Health Deficiencies

20

Number of Standard Health Deficiencies

20

Number of Complaint Health Deficiencies

0

Health Deficiency Score

156

Number of Health Revisits

3

Health Revisit Score

109

Total Health Score

265

Rating Cycle 3

Standard Health Survey Date

2019-04-01

Total Number of Health Deficiencies

16

Number of Standard Health Deficiencies

14

Number of Complaint Health Deficiencies

0

Health Deficiency Score

84

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

84

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

47253.25

Number of Payment Denials

0

Total Number of Penalties

3