North Adams Commons Nursing & Rehabilitation Cente - North Adams Nursing Home
General Information
UPDATEFederal Provider Number
225342
Provider Name
NORTH ADAMS COMMONS NURSING & REHABILITATION CENTE
Provider Address
175 FRANKLIN STREET
NORTH ADAMS, MA 1247
NORTH ADAMS, MA 1247
Provider Phone Number
(413) 664-4041
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWOOD OF NORTH ADAMS, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-02-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.25606
Reported LPN Staffing Hours per Resident per Day
0.79192
Reported RN Staffing Hours per Resident per Day
0.72424
Reported Licensed Staffing Hours per Resident per Day
1.51616
Reported Total Nurse Staffing Hours per Resident per Day
3.77222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06717
Expected CNA Staffing Hours per Resident per Day
2.31586
Expected LPN Staffing Hours per Resident per Day
0.59892
Expected RN Staffing Hours per Resident per Day
0.92569
Expected Total Nurse Staffing Hours per Resident per Day
3.84047
Adjusted CNA Staffing Hours per Resident per Day
2.39034
Adjusted LPN Staffing Hours per Resident per Day
1.09747
Adjusted RN Staffing Hours per Resident per Day
0.58459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95927
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
12
Cycle 1 Standard Survey Health Date
2014-07-16
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
21.33300
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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