Clark House Nursing Center At Fox Hill - Westwood Nursing Home
General Information
UPDATEFederal Provider Number
225528
Provider Name
CLARK HOUSE NURSING CENTER AT FOX HILL
Provider Address
30 LONGWOOD DRIVE
WESTWOOD, MA 2090
WESTWOOD, MA 2090
Provider Phone Number
7813265652
Provider SSA County
130
Provider County Name
Norfolk
Ownership Type
For profit - Partnership
Number of Certified Beds
70
Number of Residents in Certified Beds
45
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FOX HILL VILLAGE PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1990-10-01
Continuing Care Retirement Community
Y
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35111
Reported LPN Staffing Hours per Resident per Day
0.73667
Reported RN Staffing Hours per Resident per Day
1.74000
Reported Licensed Staffing Hours per Resident per Day
2.47667
Reported Total Nurse Staffing Hours per Resident per Day
4.82778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26556
Expected CNA Staffing Hours per Resident per Day
2.56702
Expected LPN Staffing Hours per Resident per Day
0.66404
Expected RN Staffing Hours per Resident per Day
1.22244
Expected Total Nurse Staffing Hours per Resident per Day
4.45350
Adjusted CNA Staffing Hours per Resident per Day
2.24732
Adjusted LPN Staffing Hours per Resident per Day
0.92078
Adjusted RN Staffing Hours per Resident per Day
1.06355
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36966
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
8
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-03-01
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3575
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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