Baldwinville Skilled Nursing & Rehabilitation Ctr - Baldwinville Nursing Home
General Information
UPDATEFederal Provider Number
225388
Provider Name
BALDWINVILLE SKILLED NURSING & REHABILITATION CTR
Provider Address
51 HOSPITAL ROAD, BOX 24
BALDWINVILLE, MA 1436
BALDWINVILLE, MA 1436
Provider Phone Number
9789392196
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
Non profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HOSPITAL COTTAGES FOR CHILDREN
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20108
Reported LPN Staffing Hours per Resident per Day
0.74409
Reported RN Staffing Hours per Resident per Day
0.70161
Reported Licensed Staffing Hours per Resident per Day
1.44570
Reported Total Nurse Staffing Hours per Resident per Day
3.64678
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07527
Expected CNA Staffing Hours per Resident per Day
2.65301
Expected LPN Staffing Hours per Resident per Day
0.63992
Expected RN Staffing Hours per Resident per Day
1.02025
Expected Total Nurse Staffing Hours per Resident per Day
4.31317
Adjusted CNA Staffing Hours per Resident per Day
2.03572
Adjusted LPN Staffing Hours per Resident per Day
0.96512
Adjusted RN Staffing Hours per Resident per Day
0.51384
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40812
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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