St Mary Health Care Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225305
Provider Name
ST MARY HEALTH CARE CENTER
Provider Address
39 QUEEN STREET
WORCESTER, MA 1610
WORCESTER, MA 1610
Provider Phone Number
(508) 753-4791
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHS OF WORCESTER, INC
Date First Approved to Provide Medicare and Medicaid services
1987-11-10
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
2
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
2.51275
Reported LPN Staffing Hours per Resident per Day
1.05539
Reported RN Staffing Hours per Resident per Day
0.51225
Reported Licensed Staffing Hours per Resident per Day
1.56765
Reported Total Nurse Staffing Hours per Resident per Day
4.08039
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02794
Expected CNA Staffing Hours per Resident per Day
2.72572
Expected LPN Staffing Hours per Resident per Day
0.58145
Expected RN Staffing Hours per Resident per Day
0.84194
Expected Total Nurse Staffing Hours per Resident per Day
4.14911
Adjusted CNA Staffing Hours per Resident per Day
2.26198
Adjusted LPN Staffing Hours per Resident per Day
1.50653
Adjusted RN Staffing Hours per Resident per Day
0.45461
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96414
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
36
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
17745
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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