Calvin Coolidge Nuring & Rehab Ctr - Northampton - Northampton Nursing Home
General Information
UPDATEFederal Provider Number
225257
Provider Name
CALVIN COOLIDGE NURING & REHAB CTR - NORTHAMPTON
Provider Address
548 ELM STREET
NORTHAMPTON, MA 1060
NORTHAMPTON, MA 1060
Provider Phone Number
(413) 586-3150
Provider SSA County
80
Provider County Name
Hampshire
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
548 ELM STREET OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-02-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19104
Reported LPN Staffing Hours per Resident per Day
0.95283
Reported RN Staffing Hours per Resident per Day
0.79717
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
3.94104
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12453
Expected CNA Staffing Hours per Resident per Day
2.49308
Expected LPN Staffing Hours per Resident per Day
0.62805
Expected RN Staffing Hours per Resident per Day
0.97291
Expected Total Nurse Staffing Hours per Resident per Day
4.09404
Adjusted CNA Staffing Hours per Resident per Day
2.15643
Adjusted LPN Staffing Hours per Resident per Day
1.25921
Adjusted RN Staffing Hours per Resident per Day
0.61223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88026
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
28
Cycle 1 Standard Survey Health Date
2014-07-29
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
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
2013-07-24
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
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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