Provider Name: PHILLIPS MANOR NURSING HOME
Address: 28 LINWOOD ROAD, LYNN, MA 01905
Phone: (781) 592-8000
County: Essex (040)
Ownership Type: For profit - Limited Liability company
Certified Beds: 29
Average Residents Per Day: 13.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: PHILLIPS MANOR LLC
First Approved Date: June 1, 1999
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.10955, LPN Staff Hours Per Day: 0.7795, RN Staff Hours Per Day: 1.2835, Licensed Staff Hours Per Day: 2.0630
Total Nurse Staff Hours Per Day, per resident: 5.17263
Weekend Nurse Staff Hours: 4.90489, Weekend RN Staff Hours: 1.0801
PT Staff Hours Per Day, per resident: 0.0000
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8510, Case Mix LPN Hours Per Day: 0.5918, Case Mix RN Hours Per Day: 0.2603
Adjusted Nurse Aide Hours Per Day, per resident: 3.42237, Adjusted LPN Hours Per Day: 0.9720, Adjusted RN Hours Per Day: 1.8575
Total Adjusted Nurse Hours Per Day, per resident: 6.03141
Adjusted Weekend Nurse Hours Per Day, per resident: 5.71922
Health Survey Dates and Scores: Cycle 1: 2023-03-26 (Score: 20), Cycle 2: 2021-05-20 (Score: 32), Cycle 3: 2019-03-26 (Score: 0)
Total Weighted Health Score: 20.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 18482.28, Payment Denials Number: 0, Total Penalties Number: 4
Location and GPS: 28 LINWOOD ROAD,LYNN,MA,01905 (42.4706, -70.965)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-24
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-24
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-24
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-24
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-24
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-15
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-15
Type: Health, Deficiency: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-15
Type: Health, Deficiency: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-15
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: