Beaumont Rehab & Skilled Nursing Ctr - Northbridge - Northbridge Nursing Home
General Information
UPDATEFederal Provider Number
225248
Provider Name
BEAUMONT REHAB & SKILLED NURSING CTR - NORTHBRIDGE
Provider Address
85 BEAUMONT DRIVE
NORTHBRIDGE, MA 1534
NORTHBRIDGE, MA 1534
Provider Phone Number
5082349771
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAUMONT WARDS LANE TRUST
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.45265
Reported LPN Staffing Hours per Resident per Day
0.54868
Reported RN Staffing Hours per Resident per Day
1.19570
Reported Licensed Staffing Hours per Resident per Day
1.74437
Reported Total Nurse Staffing Hours per Resident per Day
5.19703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15430
Expected CNA Staffing Hours per Resident per Day
2.57292
Expected LPN Staffing Hours per Resident per Day
0.58007
Expected RN Staffing Hours per Resident per Day
0.83413
Expected Total Nurse Staffing Hours per Resident per Day
3.98712
Adjusted CNA Staffing Hours per Resident per Day
3.29267
Adjusted LPN Staffing Hours per Resident per Day
0.78509
Adjusted RN Staffing Hours per Resident per Day
1.07108
Adjusted Total Nurse Staffing Hours per Resident per Day
5.25410
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-30
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
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
14365
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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