Spaulding Nursing & Therapy Center - West Roxbury - West Roxbury Nursing Home
General Information
UPDATEFederal Provider Number
225014
Provider Name
SPAULDING NURSING & THERAPY CENTER - WEST ROXBURY
Provider Address
1245 CENTRE STREET
WEST ROXBURY, MA 2132
WEST ROXBURY, MA 2132
Provider Phone Number
6173255400
Provider SSA County
160
Provider County Name
Suffolk
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRC, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.84754
Reported LPN Staffing Hours per Resident per Day
0.52951
Reported RN Staffing Hours per Resident per Day
2.87213
Reported Licensed Staffing Hours per Resident per Day
3.40164
Reported Total Nurse Staffing Hours per Resident per Day
6.24918
Reported Physical Therapist Staffing Hours per Resident Per Day
0.86557
Expected CNA Staffing Hours per Resident per Day
2.48969
Expected LPN Staffing Hours per Resident per Day
0.88966
Expected RN Staffing Hours per Resident per Day
1.67027
Expected Total Nurse Staffing Hours per Resident per Day
5.04962
Adjusted CNA Staffing Hours per Resident per Day
2.80638
Adjusted LPN Staffing Hours per Resident per Day
0.49400
Adjusted RN Staffing Hours per Resident per Day
1.28486
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98846
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
2014-11-24
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
3
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
2013-09-19
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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