Beaumont Rehab & Skilled Nursing Ctr - Northboro - Northborough Nursing Home
General Information
UPDATEFederal Provider Number
225513
Provider Name
BEAUMONT REHAB & SKILLED NURSING CTR - NORTHBORO
Provider Address
238 WEST MAIN STREET
NORTHBOROUGH, MA 1532
NORTHBOROUGH, MA 1532
Provider Phone Number
(508) 393-2368
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAUMONT WHITNEY PLACE NORTHBOROUGH
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.51522
Reported LPN Staffing Hours per Resident per Day
0.60380
Reported RN Staffing Hours per Resident per Day
0.78913
Reported Licensed Staffing Hours per Resident per Day
1.39293
Reported Total Nurse Staffing Hours per Resident per Day
3.90815
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08478
Expected CNA Staffing Hours per Resident per Day
2.56242
Expected LPN Staffing Hours per Resident per Day
0.56703
Expected RN Staffing Hours per Resident per Day
0.87457
Expected Total Nurse Staffing Hours per Resident per Day
4.00402
Adjusted CNA Staffing Hours per Resident per Day
2.40850
Adjusted LPN Staffing Hours per Resident per Day
0.88382
Adjusted RN Staffing Hours per Resident per Day
0.67420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93439
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
2013-09-13
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
7280
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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