Overlook Masonic Health Center - Charlton Nursing Home
General Information
UPDATEFederal Provider Number
225643
Provider Name
OVERLOOK MASONIC HEALTH CENTER
Provider Address
88 MASONIC HOME ROAD PO BOX 1000
CHARLTON, MA 1507
CHARLTON, MA 1507
Provider Phone Number
5082487344
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
Non profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OVERLOOK MASONIC HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.50115
Reported LPN Staffing Hours per Resident per Day
0.65500
Reported RN Staffing Hours per Resident per Day
1.27692
Reported Licensed Staffing Hours per Resident per Day
1.93192
Reported Total Nurse Staffing Hours per Resident per Day
5.43307
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05423
Expected CNA Staffing Hours per Resident per Day
2.52362
Expected LPN Staffing Hours per Resident per Day
0.58786
Expected RN Staffing Hours per Resident per Day
0.84462
Expected Total Nurse Staffing Hours per Resident per Day
3.95610
Adjusted CNA Staffing Hours per Resident per Day
3.40415
Adjusted LPN Staffing Hours per Resident per Day
0.92480
Adjusted RN Staffing Hours per Resident per Day
1.12964
Adjusted Total Nurse Staffing Hours per Resident per Day
5.53580
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
4
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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