Apple Valley Center - Ayer Nursing Home
General Information
UPDATEFederal Provider Number
225421
Provider Name
APPLE VALLEY CENTER
Provider Address
400 GROTON ROAD
AYER, MA 1432
AYER, MA 1432
Provider Phone Number
(978) 772-1704
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
400 GROTON 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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.73349
Reported LPN Staffing Hours per Resident per Day
0.80872
Reported RN Staffing Hours per Resident per Day
1.10092
Reported Licensed Staffing Hours per Resident per Day
1.90963
Reported Total Nurse Staffing Hours per Resident per Day
3.64313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07018
Expected CNA Staffing Hours per Resident per Day
2.79583
Expected LPN Staffing Hours per Resident per Day
0.65380
Expected RN Staffing Hours per Resident per Day
0.93308
Expected Total Nurse Staffing Hours per Resident per Day
4.38271
Adjusted CNA Staffing Hours per Resident per Day
1.52136
Adjusted LPN Staffing Hours per Resident per Day
1.02668
Adjusted RN Staffing Hours per Resident per Day
0.88160
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35069
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
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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