Heritage Hall East - Agawam Nursing Home
General Information
UPDATEFederal Provider Number
225286
Provider Name
HERITAGE HALL EAST
Provider Address
464 MAIN STREET P O BOX 348
AGAWAM, MA 1001
AGAWAM, MA 1001
Provider Phone Number
(413) 786-8000
Provider SSA County
70
Provider County Name
Hampden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
464 MAIN STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1986-01-14
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.23559
Reported LPN Staffing Hours per Resident per Day
0.68559
Reported RN Staffing Hours per Resident per Day
0.78378
Reported Licensed Staffing Hours per Resident per Day
1.46937
Reported Total Nurse Staffing Hours per Resident per Day
3.70496
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11982
Expected CNA Staffing Hours per Resident per Day
2.46312
Expected LPN Staffing Hours per Resident per Day
0.61673
Expected RN Staffing Hours per Resident per Day
1.09604
Expected Total Nurse Staffing Hours per Resident per Day
4.17588
Adjusted CNA Staffing Hours per Resident per Day
2.22704
Adjusted LPN Staffing Hours per Resident per Day
0.92268
Adjusted RN Staffing Hours per Resident per Day
0.53433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57633
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
2012-06-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
2
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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