Holden Rehabilitation & Nursing Center - Holden Nursing Home
General Information
UPDATEFederal Provider Number
225002
Provider Name
HOLDEN REHABILITATION & NURSING CENTER
Provider Address
32 MAYO ROAD
HOLDEN, MA 1520
HOLDEN, MA 1520
Provider Phone Number
(508) 829-4327
Provider SSA County
170
Provider County Name
Worcester
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
HOLDEN NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.84459
Reported LPN Staffing Hours per Resident per Day
1.27658
Reported RN Staffing Hours per Resident per Day
1.40090
Reported Licensed Staffing Hours per Resident per Day
2.67748
Reported Total Nurse Staffing Hours per Resident per Day
5.52207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08739
Expected CNA Staffing Hours per Resident per Day
2.68862
Expected LPN Staffing Hours per Resident per Day
0.86016
Expected RN Staffing Hours per Resident per Day
1.29323
Expected Total Nurse Staffing Hours per Resident per Day
4.84201
Adjusted CNA Staffing Hours per Resident per Day
2.59605
Adjusted LPN Staffing Hours per Resident per Day
1.23181
Adjusted RN Staffing Hours per Resident per Day
0.80941
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59704
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
2015-02-19
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-02-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
13.33300
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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