Knollwood Nursing Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225016
Provider Name
KNOLLWOOD NURSING CENTER
Provider Address
87 BRIARWOOD CIRCLE
WORCESTER, MA 1606
WORCESTER, MA 1606
Provider Phone Number
(508) 853-6910
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEM COMMUNITY CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1970-01-07
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.72857
Reported LPN Staffing Hours per Resident per Day
0.72468
Reported RN Staffing Hours per Resident per Day
0.89286
Reported Licensed Staffing Hours per Resident per Day
1.61753
Reported Total Nurse Staffing Hours per Resident per Day
4.34611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.64131
Expected LPN Staffing Hours per Resident per Day
0.54806
Expected RN Staffing Hours per Resident per Day
0.79207
Expected Total Nurse Staffing Hours per Resident per Day
3.98144
Adjusted CNA Staffing Hours per Resident per Day
2.53476
Adjusted LPN Staffing Hours per Resident per Day
1.09747
Adjusted RN Staffing Hours per Resident per Day
0.84229
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40010
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2013-08-15
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
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
2012-06-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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