Life Care Center Of Wilbraham - Wilbraham Nursing Home
General Information
UPDATEFederal Provider Number
225543
Provider Name
LIFE CARE CENTER OF WILBRAHAM
Provider Address
2399 BOSTON ROAD
WILBRAHAM, MA 1095
WILBRAHAM, MA 1095
Provider Phone Number
(413) 596-3111
Provider SSA County
70
Provider County Name
Hampden
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
123
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILBRAHAM MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1991-12-12
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.20975
Reported LPN Staffing Hours per Resident per Day
0.71907
Reported RN Staffing Hours per Resident per Day
0.99534
Reported Licensed Staffing Hours per Resident per Day
1.71441
Reported Total Nurse Staffing Hours per Resident per Day
3.92416
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16314
Expected CNA Staffing Hours per Resident per Day
2.56604
Expected LPN Staffing Hours per Resident per Day
0.62538
Expected RN Staffing Hours per Resident per Day
1.09882
Expected Total Nurse Staffing Hours per Resident per Day
4.29024
Adjusted CNA Staffing Hours per Resident per Day
2.11301
Adjusted LPN Staffing Hours per Resident per Day
0.95434
Adjusted RN Staffing Hours per Resident per Day
0.67684
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68695
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
26.66700
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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