Blaire House Of Worcester - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225443
Provider Name
BLAIRE HOUSE OF WORCESTER
Provider Address
116 HOUGHTON STREET
WORCESTER, MA 1604
WORCESTER, MA 1604
Provider Phone Number
(508) 791-5543
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOUGHTON CORPORATION
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.48060
Reported LPN Staffing Hours per Resident per Day
0.87612
Reported RN Staffing Hours per Resident per Day
0.62164
Reported Licensed Staffing Hours per Resident per Day
1.49776
Reported Total Nurse Staffing Hours per Resident per Day
3.97836
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04254
Expected CNA Staffing Hours per Resident per Day
2.85104
Expected LPN Staffing Hours per Resident per Day
0.55747
Expected RN Staffing Hours per Resident per Day
0.74193
Expected Total Nurse Staffing Hours per Resident per Day
4.15044
Adjusted CNA Staffing Hours per Resident per Day
2.13489
Adjusted LPN Staffing Hours per Resident per Day
1.30443
Adjusted RN Staffing Hours per Resident per Day
0.62606
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86378
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
14700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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