Quabbin Valley Healthcare - Athol Nursing Home
General Information
UPDATEFederal Provider Number
225296
Provider Name
QUABBIN VALLEY HEALTHCARE
Provider Address
821 DANIEL SHAYS HIGHWAY
ATHOL, MA 1331
ATHOL, MA 1331
Provider Phone Number
(978) 249-3717
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QUABBIN VALLEY CONVALESCENT CENTER,INC.
Date First Approved to Provide Medicare and Medicaid services
1987-04-17
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.01364
Reported LPN Staffing Hours per Resident per Day
0.98939
Reported RN Staffing Hours per Resident per Day
0.68182
Reported Licensed Staffing Hours per Resident per Day
1.67121
Reported Total Nurse Staffing Hours per Resident per Day
3.68485
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11326
Expected CNA Staffing Hours per Resident per Day
2.66304
Expected LPN Staffing Hours per Resident per Day
0.57999
Expected RN Staffing Hours per Resident per Day
0.83057
Expected Total Nurse Staffing Hours per Resident per Day
4.07361
Adjusted CNA Staffing Hours per Resident per Day
1.85535
Adjusted LPN Staffing Hours per Resident per Day
1.41587
Adjusted RN Staffing Hours per Resident per Day
0.61338
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64622
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
8
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-04-22
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
24633
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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