Meadow Green Nursing And Rehabilitation Center - Waltham Nursing Home
General Information
UPDATEFederal Provider Number
225440
Provider Name
MEADOW GREEN NURSING AND REHABILITATION CENTER
Provider Address
45 WOBURN STREET
WALTHAM, MA 2453
WALTHAM, MA 2453
Provider Phone Number
7818998600
Provider SSA County
90
Provider County Name
Middlesex
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOW GREEN NURSING HOME INC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.62547
Reported LPN Staffing Hours per Resident per Day
0.85566
Reported RN Staffing Hours per Resident per Day
0.98255
Reported Licensed Staffing Hours per Resident per Day
1.83821
Reported Total Nurse Staffing Hours per Resident per Day
4.46368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22075
Expected CNA Staffing Hours per Resident per Day
2.66310
Expected LPN Staffing Hours per Resident per Day
0.64837
Expected RN Staffing Hours per Resident per Day
1.00037
Expected Total Nurse Staffing Hours per Resident per Day
4.31184
Adjusted CNA Staffing Hours per Resident per Day
2.41903
Adjusted LPN Staffing Hours per Resident per Day
1.09536
Adjusted RN Staffing Hours per Resident per Day
0.73389
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17285
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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