Life Care Center Of Merrimack Valley - Billerica Nursing Home
General Information
UPDATEFederal Provider Number
225546
Provider Name
LIFE CARE CENTER OF MERRIMACK VALLEY
Provider Address
80 BOSTON ROAD
BILLERICA, MA 1862
BILLERICA, MA 1862
Provider Phone Number
(978) 667-2166
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-03-15
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23276
Reported LPN Staffing Hours per Resident per Day
0.94095
Reported RN Staffing Hours per Resident per Day
0.69224
Reported Licensed Staffing Hours per Resident per Day
1.63319
Reported Total Nurse Staffing Hours per Resident per Day
3.86595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11853
Expected CNA Staffing Hours per Resident per Day
2.60013
Expected LPN Staffing Hours per Resident per Day
0.64720
Expected RN Staffing Hours per Resident per Day
1.04869
Expected Total Nurse Staffing Hours per Resident per Day
4.29601
Adjusted CNA Staffing Hours per Resident per Day
2.10702
Adjusted LPN Staffing Hours per Resident per Day
1.20672
Adjusted RN Staffing Hours per Resident per Day
0.49323
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62738
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
28
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
13050
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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