Keystone Center - Leominster Nursing Home
General Information
UPDATEFederal Provider Number
225355
Provider Name
KEYSTONE CENTER
Provider Address
44 KEYSTONE DRIVE
LEOMINSTER, MA 1453
LEOMINSTER, MA 1453
Provider Phone Number
(978) 537-9327
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
44 KEYSTONE DRIVE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.02391
Reported LPN Staffing Hours per Resident per Day
0.67971
Reported RN Staffing Hours per Resident per Day
0.66159
Reported Licensed Staffing Hours per Resident per Day
1.34130
Reported Total Nurse Staffing Hours per Resident per Day
3.36521
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06594
Expected CNA Staffing Hours per Resident per Day
2.32201
Expected LPN Staffing Hours per Resident per Day
0.58293
Expected RN Staffing Hours per Resident per Day
0.86800
Expected Total Nurse Staffing Hours per Resident per Day
3.77294
Adjusted CNA Staffing Hours per Resident per Day
2.13869
Adjusted LPN Staffing Hours per Resident per Day
0.96780
Adjusted RN Staffing Hours per Resident per Day
0.56951
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59529
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-09
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
20.00000
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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