Southbridge Rehabilitation & Health Care Center - Southbridge Nursing Home
General Information
UPDATEFederal Provider Number
225293
Provider Name
SOUTHBRIDGE REHABILITATION & HEALTH CARE CENTER
Provider Address
84 CHAPIN STREET
SOUTHBRIDGE, MA 1550
SOUTHBRIDGE, MA 1550
Provider Phone Number
5087659133
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHBRIDGE MA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1987-01-02
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.21270
Reported LPN Staffing Hours per Resident per Day
0.77024
Reported RN Staffing Hours per Resident per Day
0.79365
Reported Licensed Staffing Hours per Resident per Day
1.56389
Reported Total Nurse Staffing Hours per Resident per Day
3.77659
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14167
Expected CNA Staffing Hours per Resident per Day
2.50202
Expected LPN Staffing Hours per Resident per Day
0.61116
Expected RN Staffing Hours per Resident per Day
0.95636
Expected Total Nurse Staffing Hours per Resident per Day
4.06954
Adjusted CNA Staffing Hours per Resident per Day
2.16997
Adjusted LPN Staffing Hours per Resident per Day
1.04604
Adjusted RN Staffing Hours per Resident per Day
0.62008
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74073
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-18
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-03-07
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
28958
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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