Spring Valley Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225492
Provider Name
SPRING VALLEY CENTER
Provider Address
81 CHATHAM STREET
WORCESTER, MA 1609
WORCESTER, MA 1609
Provider Phone Number
(508) 754-3276
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84038
Reported LPN Staffing Hours per Resident per Day
0.99808
Reported RN Staffing Hours per Resident per Day
0.46282
Reported Licensed Staffing Hours per Resident per Day
1.46090
Reported Total Nurse Staffing Hours per Resident per Day
3.30128
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06410
Expected CNA Staffing Hours per Resident per Day
1.96504
Expected LPN Staffing Hours per Resident per Day
0.56741
Expected RN Staffing Hours per Resident per Day
0.81065
Expected Total Nurse Staffing Hours per Resident per Day
3.34310
Adjusted CNA Staffing Hours per Resident per Day
2.29804
Adjusted LPN Staffing Hours per Resident per Day
1.45997
Adjusted RN Staffing Hours per Resident per Day
0.42660
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98048
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-07-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
3
Total Amount of Fines in Dollars
46216
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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