Tcu At Webster - Webster Nursing Home
General Information
UPDATEFederal Provider Number
225735
Provider Name
TCU AT WEBSTER
Provider Address
340 THOMPSON ROAD - 1ST FLOOR
WEBSTER, MA 1570
WEBSTER, MA 1570
Provider Phone Number
5089498420
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
For profit - Individual
Number of Certified Beds
21
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TCU AT HUBBARD LLC
Date First Approved to Provide Medicare and Medicaid services
1997-10-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
3.05556
Reported LPN Staffing Hours per Resident per Day
0.15833
Reported RN Staffing Hours per Resident per Day
2.74722
Reported Licensed Staffing Hours per Resident per Day
2.90556
Reported Total Nurse Staffing Hours per Resident per Day
5.96111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31667
Expected CNA Staffing Hours per Resident per Day
2.50038
Expected LPN Staffing Hours per Resident per Day
0.80745
Expected RN Staffing Hours per Resident per Day
1.78929
Expected Total Nurse Staffing Hours per Resident per Day
5.09712
Adjusted CNA Staffing Hours per Resident per Day
2.99851
Adjusted LPN Staffing Hours per Resident per Day
0.16275
Adjusted RN Staffing Hours per Resident per Day
1.14723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71416
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-19
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
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
2013-01-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
2
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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