Nursing Home

PENACOOK PLACE, INC

Overall Rating

Address

150 Water Street

Haverhill, MA 01830

Contact

9783740707

Certification Date

1990-07-01

Details

CMS Certification Number

225376

Ownership Type

Non profit - Corporation

Number of Certified Beds

160

Average Number of Residents per Day

138.3

Provider Type

Medicare and Medicaid

Legal Business Name

PENACOOK PLACE, INC.

Affiliated Entity Name

COVENANT HEALTH

Affiliated Entity ID

167

Ratings

Health Inspection Rating

1

Quality Measure Rating

1

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.26959

Reported LPN Staffing Hours per Resident per Day

1.02016

Reported RN Staffing Hours per Resident per Day

0.42338

Reported Total Nurse Staffing Hours per Resident per Day

3.71312

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

3.22337

Registered Nurse Hours per Resident per Day on the Weekend

0.16796

Reported Physical Therapist Staffing Hours per Resident Per Day

0.03721

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

1

Inspections

Total Weighted Health Survey Score

176.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

7

Number of Citations from Infection Control Inspections

2

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-03-20

Total Number of Health Deficiencies

20

Number of Standard Health Deficiencies

15

Number of Complaint Health Deficiencies

5

Health Deficiency Score

108

Number of Health Revisits

2

Health Revisit Score

54

Total Health Score

162

Rating Cycle 2

Standard Health Survey Date

2022-03-25

Total Number of Health Deficiencies

19

Number of Standard Health Deficiencies

15

Number of Complaint Health Deficiencies

6

Health Deficiency Score

180

Number of Health Revisits

2

Health Revisit Score

90

Total Health Score

270

Rating Cycle 3

Standard Health Survey Date

2019-05-09

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Penalties

Number of Fines

15

Total Amount of Fines in Dollars

229141.32

Number of Payment Denials

1

Total Number of Penalties

16