Notre Dame Long Term Care Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225577
Provider Name
NOTRE DAME LONG TERM CARE CENTER
Provider Address
559 PLANTATION STREET
WORCESTER, MA 1605
WORCESTER, MA 1605
Provider Phone Number
(508) 852-3011
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NOTRE DAME HEALTH CARE CENTER,INC
Date First Approved to Provide Medicare and Medicaid services
1993-06-12
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.25451
Reported LPN Staffing Hours per Resident per Day
1.11066
Reported RN Staffing Hours per Resident per Day
0.75533
Reported Licensed Staffing Hours per Resident per Day
1.86598
Reported Total Nurse Staffing Hours per Resident per Day
5.12050
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01107
Expected CNA Staffing Hours per Resident per Day
2.68820
Expected LPN Staffing Hours per Resident per Day
0.57733
Expected RN Staffing Hours per Resident per Day
0.81343
Expected Total Nurse Staffing Hours per Resident per Day
4.07895
Adjusted CNA Staffing Hours per Resident per Day
2.97061
Adjusted LPN Staffing Hours per Resident per Day
1.59675
Adjusted RN Staffing Hours per Resident per Day
0.69383
Adjusted Total Nurse Staffing Hours per Resident per Day
5.06018
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-07-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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