Palm Skilled Nrsing Cr & Ctr For Rehab Excellence - Chelmsford Nursing Home
General Information
UPDATEFederal Provider Number
225508
Provider Name
PALM SKILLED NRSING CR & CTR FOR REHAB EXCELLENCE
Provider Address
40 PARKHURST ROAD
CHELMSFORD, MA 1824
CHELMSFORD, MA 1824
Provider Phone Number
9782563151
Provider SSA County
90
Provider County Name
Middlesex
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
40 PARKHURST ROAD OPERATIONS LLC
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.29626
Reported LPN Staffing Hours per Resident per Day
0.92991
Reported RN Staffing Hours per Resident per Day
1.12664
Reported Licensed Staffing Hours per Resident per Day
2.05654
Reported Total Nurse Staffing Hours per Resident per Day
4.35281
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17570
Expected CNA Staffing Hours per Resident per Day
2.38401
Expected LPN Staffing Hours per Resident per Day
0.63329
Expected RN Staffing Hours per Resident per Day
1.06630
Expected Total Nurse Staffing Hours per Resident per Day
4.08360
Adjusted CNA Staffing Hours per Resident per Day
2.36339
Adjusted LPN Staffing Hours per Resident per Day
1.21875
Adjusted RN Staffing Hours per Resident per Day
0.78948
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29664
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-09
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
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
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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