St Camillus Health Center - Whitinsville Nursing Home
General Information
UPDATEFederal Provider Number
225312
Provider Name
ST CAMILLUS HEALTH CENTER
Provider Address
447 HILL STREET
WHITINSVILLE, MA 1588
WHITINSVILLE, MA 1588
Provider Phone Number
5082347306
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
Non profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. CAMILLUS HEALTH CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-07-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.27288
Reported LPN Staffing Hours per Resident per Day
0.92246
Reported RN Staffing Hours per Resident per Day
0.52966
Reported Licensed Staffing Hours per Resident per Day
1.45212
Reported Total Nurse Staffing Hours per Resident per Day
3.72500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02119
Expected CNA Staffing Hours per Resident per Day
2.45517
Expected LPN Staffing Hours per Resident per Day
0.65444
Expected RN Staffing Hours per Resident per Day
0.96941
Expected Total Nurse Staffing Hours per Resident per Day
4.07902
Adjusted CNA Staffing Hours per Resident per Day
2.27152
Adjusted LPN Staffing Hours per Resident per Day
1.16991
Adjusted RN Staffing Hours per Resident per Day
0.40825
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68105
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
2014-09-30
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
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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