Birch Manor Rehabilitation And Skilled Nursing Ctr - Chicopee Nursing Home
General Information
UPDATEFederal Provider Number
225539
Provider Name
BIRCH MANOR REHABILITATION AND SKILLED NURSING CTR
Provider Address
44 NEW LOMBARD ROAD
CHICOPEE, MA 1020
CHICOPEE, MA 1020
Provider Phone Number
4135927738
Provider SSA County
70
Provider County Name
Hampden
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUILFORD HEALTH MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-08-26
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.16797
Reported LPN Staffing Hours per Resident per Day
0.84063
Reported RN Staffing Hours per Resident per Day
0.95547
Reported Licensed Staffing Hours per Resident per Day
1.79609
Reported Total Nurse Staffing Hours per Resident per Day
3.96407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00781
Expected CNA Staffing Hours per Resident per Day
2.68197
Expected LPN Staffing Hours per Resident per Day
0.60172
Expected RN Staffing Hours per Resident per Day
0.90027
Expected Total Nurse Staffing Hours per Resident per Day
4.18396
Adjusted CNA Staffing Hours per Resident per Day
1.98345
Adjusted LPN Staffing Hours per Resident per Day
1.15955
Adjusted RN Staffing Hours per Resident per Day
0.79301
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81905
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-21
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
2012-11-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
23.33300
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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