Marlborough Hills Rehabiltiation & Hlth Care Ctr - Marlborough Nursing Home
General Information
UPDATEFederal Provider Number
225063
Provider Name
MARLBOROUGH HILLS REHABILTIATION & HLTH CARE CTR
Provider Address
121 NORTHBORO ROAD
MARLBOROUGH, MA 1752
MARLBOROUGH, MA 1752
Provider Phone Number
(508) 485-4040
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
196
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARLBORO HILLS MA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2.37486
Reported LPN Staffing Hours per Resident per Day
1.11796
Reported RN Staffing Hours per Resident per Day
0.50718
Reported Licensed Staffing Hours per Resident per Day
1.62514
Reported Total Nurse Staffing Hours per Resident per Day
4.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04917
Expected CNA Staffing Hours per Resident per Day
2.44671
Expected LPN Staffing Hours per Resident per Day
0.62443
Expected RN Staffing Hours per Resident per Day
0.97485
Expected Total Nurse Staffing Hours per Resident per Day
4.04599
Adjusted CNA Staffing Hours per Resident per Day
2.38164
Adjusted LPN Staffing Hours per Resident per Day
1.48601
Adjusted RN Staffing Hours per Resident per Day
0.38874
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98508
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
2521
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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