Renaissance Manor On Cabot - Holyoke Nursing Home
General Information
UPDATEFederal Provider Number
225352
Provider Name
RENAISSANCE MANOR ON CABOT
Provider Address
279 CABOT STREET
HOLYOKE, MA 1040
HOLYOKE, MA 1040
Provider Phone Number
(413) 536-3435
Provider SSA County
70
Provider County Name
Hampden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
28
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CPL (CABOT) LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-02
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
2
QM Rating Footnote
Staffing Rating
4
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
1.86786
Reported LPN Staffing Hours per Resident per Day
1.05357
Reported RN Staffing Hours per Resident per Day
1.29107
Reported Licensed Staffing Hours per Resident per Day
2.34464
Reported Total Nurse Staffing Hours per Resident per Day
4.21250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10893
Expected CNA Staffing Hours per Resident per Day
2.34794
Expected LPN Staffing Hours per Resident per Day
0.70101
Expected RN Staffing Hours per Resident per Day
1.25861
Expected Total Nurse Staffing Hours per Resident per Day
4.30755
Adjusted CNA Staffing Hours per Resident per Day
1.95200
Adjusted LPN Staffing Hours per Resident per Day
1.24744
Adjusted RN Staffing Hours per Resident per Day
0.76647
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94195
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-01
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
2
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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