D'youville Senior Care - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
225515
Provider Name
D'YOUVILLE SENIOR CARE
Provider Address
981 VARNUM AVENUE
LOWELL, MA 1854
LOWELL, MA 1854
Provider Phone Number
(978) 454-5681
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
208
Number of Residents in Certified Beds
200
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
D YOUVILLE SENIOR CARE INC
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.34750
Reported LPN Staffing Hours per Resident per Day
0.98050
Reported RN Staffing Hours per Resident per Day
0.75100
Reported Licensed Staffing Hours per Resident per Day
1.73150
Reported Total Nurse Staffing Hours per Resident per Day
4.07900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07175
Expected CNA Staffing Hours per Resident per Day
2.53737
Expected LPN Staffing Hours per Resident per Day
0.58306
Expected RN Staffing Hours per Resident per Day
0.87447
Expected Total Nurse Staffing Hours per Resident per Day
3.99489
Adjusted CNA Staffing Hours per Resident per Day
2.27009
Adjusted LPN Staffing Hours per Resident per Day
1.39576
Adjusted RN Staffing Hours per Resident per Day
0.64170
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11576
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-19
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
3470
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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