Countryside Health Care Of Milford - Milford Nursing Home

General Information

UPDATE
Federal Provider Number
225463
Provider Name
COUNTRYSIDE HEALTH CARE OF MILFORD
Provider Address
COUNTRYSIDE DRIVE
MILFORD, MA 1757
Provider Phone Number
(508) 473-0435
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
85
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GERIATRIC AUTHORITY OF MILFORD
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
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
3.17533
Reported LPN Staffing Hours per Resident per Day
1.19267
Reported RN Staffing Hours per Resident per Day
1.47667
Reported Licensed Staffing Hours per Resident per Day
2.66933
Reported Total Nurse Staffing Hours per Resident per Day
5.84467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37933
Expected CNA Staffing Hours per Resident per Day
2.45759
Expected LPN Staffing Hours per Resident per Day
0.70880
Expected RN Staffing Hours per Resident per Day
1.18703
Expected Total Nurse Staffing Hours per Resident per Day
4.35342
Adjusted CNA Staffing Hours per Resident per Day
3.17030
Adjusted LPN Staffing Hours per Resident per Day
1.39661
Adjusted RN Staffing Hours per Resident per Day
0.92952
Adjusted Total Nurse Staffing Hours per Resident per Day
5.41168
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-05-01
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.66700
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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