Golden Living Center-fitchburg - Fitchburg Nursing Home
General Information
UPDATEFederal Provider Number
225216
Provider Name
GOLDEN LIVING CENTER-FITCHBURG
Provider Address
1199 JOHN FITCH HWY
FITCHBURG, MA 1420
FITCHBURG, MA 1420
Provider Phone Number
(978) 345-0146
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC FITCHBURG LLC
Date First Approved to Provide Medicare and Medicaid services
1974-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20125
Reported LPN Staffing Hours per Resident per Day
0.94708
Reported RN Staffing Hours per Resident per Day
0.52292
Reported Licensed Staffing Hours per Resident per Day
1.47000
Reported Total Nurse Staffing Hours per Resident per Day
3.67125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09042
Expected CNA Staffing Hours per Resident per Day
2.59474
Expected LPN Staffing Hours per Resident per Day
0.63502
Expected RN Staffing Hours per Resident per Day
1.02466
Expected Total Nurse Staffing Hours per Resident per Day
4.25441
Adjusted CNA Staffing Hours per Resident per Day
2.08160
Adjusted LPN Staffing Hours per Resident per Day
1.23788
Adjusted RN Staffing Hours per Resident per Day
0.38132
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47838
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
38.00000
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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