Holy Trinity Eastern Orthodox N & R Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225648
Provider Name
HOLY TRINITY EASTERN ORTHODOX N & R CENTER
Provider Address
300 BARBER AVENUE
WORCESTER, MA 1606
WORCESTER, MA 1606
Provider Phone Number
(508) 852-1000
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTERN ORTHODOX MANAGEMENT CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1994-08-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.08182
Reported LPN Staffing Hours per Resident per Day
0.94864
Reported RN Staffing Hours per Resident per Day
1.13682
Reported Licensed Staffing Hours per Resident per Day
2.08545
Reported Total Nurse Staffing Hours per Resident per Day
5.16728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08591
Expected CNA Staffing Hours per Resident per Day
2.48448
Expected LPN Staffing Hours per Resident per Day
0.58980
Expected RN Staffing Hours per Resident per Day
0.88419
Expected Total Nurse Staffing Hours per Resident per Day
3.95848
Adjusted CNA Staffing Hours per Resident per Day
3.04364
Adjusted LPN Staffing Hours per Resident per Day
1.33497
Adjusted RN Staffing Hours per Resident per Day
0.96069
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26182
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
2014-06-18
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
2013-03-13
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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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