Massachusetts Nursing Homes >> Agawam Nursing Homes >> Heritage Hall South

Heritage Hall South - Agawam Nursing Home

General Information

UPDATE
Federal Provider Number
225176
Provider Name
HERITAGE HALL SOUTH
Provider Address
65 COOPER STREET
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
122
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
65 COOPER STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1969-03-04
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
4
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
1.98080
Reported LPN Staffing Hours per Resident per Day
0.84018
Reported RN Staffing Hours per Resident per Day
0.77411
Reported Licensed Staffing Hours per Resident per Day
1.61429
Reported Total Nurse Staffing Hours per Resident per Day
3.59509
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11339
Expected CNA Staffing Hours per Resident per Day
2.39739
Expected LPN Staffing Hours per Resident per Day
0.66534
Expected RN Staffing Hours per Resident per Day
1.07801
Expected Total Nurse Staffing Hours per Resident per Day
4.14075
Adjusted CNA Staffing Hours per Resident per Day
2.02732
Adjusted LPN Staffing Hours per Resident per Day
1.04810
Adjusted RN Staffing Hours per Resident per Day
0.53656
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49972
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-03
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
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
2012-12-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2438
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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