Kimwell - Fall River Nursing Home
General Information
UPDATEFederal Provider Number
225194
Provider Name
KIMWELL
Provider Address
495 NEW BOSTON ROAD
FALL RIVER, MA 2720
FALL RIVER, MA 2720
Provider Phone Number
(508) 679-0106
Provider SSA County
20
Provider County Name
Bristol
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
124
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KIMWELL HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1970-02-16
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00504
Reported LPN Staffing Hours per Resident per Day
0.71092
Reported RN Staffing Hours per Resident per Day
0.51891
Reported Licensed Staffing Hours per Resident per Day
1.22983
Reported Total Nurse Staffing Hours per Resident per Day
3.23487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04664
Expected CNA Staffing Hours per Resident per Day
2.43149
Expected LPN Staffing Hours per Resident per Day
0.67187
Expected RN Staffing Hours per Resident per Day
1.05293
Expected Total Nurse Staffing Hours per Resident per Day
4.15629
Adjusted CNA Staffing Hours per Resident per Day
2.02336
Adjusted LPN Staffing Hours per Resident per Day
0.87824
Adjusted RN Staffing Hours per Resident per Day
0.36824
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13728
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
2014-04-02
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-04-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
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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