Carleton-willard Village Retirement & Nursing Ctr - Bedford Nursing Home
General Information
UPDATEFederal Provider Number
225273
Provider Name
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR
Provider Address
100 OLD BILLERICA ROAD
BEDFORD, MA 1730
BEDFORD, MA 1730
Provider Phone Number
(781) 275-8700
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLETON WILLARD HOMES INC
Date First Approved to Provide Medicare and Medicaid services
1983-12-13
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.35579
Reported LPN Staffing Hours per Resident per Day
0.94947
Reported RN Staffing Hours per Resident per Day
0.83105
Reported Licensed Staffing Hours per Resident per Day
1.78053
Reported Total Nurse Staffing Hours per Resident per Day
5.13631
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06895
Expected CNA Staffing Hours per Resident per Day
2.52989
Expected LPN Staffing Hours per Resident per Day
0.56225
Expected RN Staffing Hours per Resident per Day
0.77957
Expected Total Nurse Staffing Hours per Resident per Day
3.87171
Adjusted CNA Staffing Hours per Resident per Day
3.25472
Adjusted LPN Staffing Hours per Resident per Day
1.40163
Adjusted RN Staffing Hours per Resident per Day
0.79655
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34750
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.66700
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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