Concord Health Care Center - W Concord Nursing Home
General Information
UPDATEFederal Provider Number
225663
Provider Name
CONCORD HEALTH CARE CENTER
Provider Address
57 OLD ROAD TO NINE ACRE CORNER
W CONCORD, MA 1742
W CONCORD, MA 1742
Provider Phone Number
(978) 371-3400
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
57 OLD ROAD TO NINE ACRE CORNER OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-02-10
Continuing Care Retirement Community
N
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
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
3.00124
Reported LPN Staffing Hours per Resident per Day
1.28017
Reported RN Staffing Hours per Resident per Day
1.58306
Reported Licensed Staffing Hours per Resident per Day
2.86322
Reported Total Nurse Staffing Hours per Resident per Day
5.86447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09711
Expected CNA Staffing Hours per Resident per Day
2.51543
Expected LPN Staffing Hours per Resident per Day
0.63465
Expected RN Staffing Hours per Resident per Day
1.01076
Expected Total Nurse Staffing Hours per Resident per Day
4.16083
Adjusted CNA Staffing Hours per Resident per Day
2.92759
Adjusted LPN Staffing Hours per Resident per Day
1.67423
Adjusted RN Staffing Hours per Resident per Day
1.17027
Adjusted Total Nurse Staffing Hours per Resident per Day
5.68133
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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