D'youville Transitional Care, Inc - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
225777
Provider Name
D'YOUVILLE TRANSITIONAL CARE, INC
Provider Address
1071 VARNUM AVENUE
LOWELL, MA 1854
LOWELL, MA 1854
Provider Phone Number
(978) 569-1071
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
DYOUVILLE TRANSITIONAL CARE INC
Date First Approved to Provide Medicare and Medicaid services
2012-03-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
3.90750
Reported LPN Staffing Hours per Resident per Day
1.22500
Reported RN Staffing Hours per Resident per Day
3.24750
Reported Licensed Staffing Hours per Resident per Day
4.47250
Reported Total Nurse Staffing Hours per Resident per Day
8.38000
Reported Physical Therapist Staffing Hours per Resident Per Day
1.37500
Expected CNA Staffing Hours per Resident per Day
2.30237
Expected LPN Staffing Hours per Resident per Day
0.81856
Expected RN Staffing Hours per Resident per Day
1.84707
Expected Total Nurse Staffing Hours per Resident per Day
4.96800
Adjusted CNA Staffing Hours per Resident per Day
4.16434
Adjusted LPN Staffing Hours per Resident per Day
1.24211
Adjusted RN Staffing Hours per Resident per Day
1.31372
Adjusted Total Nurse Staffing Hours per Resident per Day
6.79930
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-03-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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