Millbury Health Care Center - Millbury Nursing Home
General Information
UPDATEFederal Provider Number
225720
Provider Name
MILLBURY HEALTH CARE CENTER
Provider Address
312 MILLBURY AVENUE
MILLBURY, MA 1527
MILLBURY, MA 1527
Provider Phone Number
(508) 793-0088
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
312 MILLBURY AVENUE OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-01-23
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.17378
Reported LPN Staffing Hours per Resident per Day
0.79615
Reported RN Staffing Hours per Resident per Day
0.94650
Reported Licensed Staffing Hours per Resident per Day
1.74266
Reported Total Nurse Staffing Hours per Resident per Day
3.91643
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09476
Expected CNA Staffing Hours per Resident per Day
2.54151
Expected LPN Staffing Hours per Resident per Day
0.61653
Expected RN Staffing Hours per Resident per Day
1.01125
Expected Total Nurse Staffing Hours per Resident per Day
4.16929
Adjusted CNA Staffing Hours per Resident per Day
2.09867
Adjusted LPN Staffing Hours per Resident per Day
1.07182
Adjusted RN Staffing Hours per Resident per Day
0.69936
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78643
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2014-02-12
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
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
2012-11-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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