Valley Stream Rehabilitation And Healthcare Ctr - Fitchburg Nursing Home
General Information
UPDATEFederal Provider Number
225227
Provider Name
VALLEY STREAM REHABILITATION AND HEALTHCARE CTR
Provider Address
94 SUMMER STREET
FITCHBURG, MA 1420
FITCHBURG, MA 1420
Provider Phone Number
9783433530
Provider SSA County
170
Provider County Name
Worcester
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY STREAM OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid services
1975-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15700
Reported LPN Staffing Hours per Resident per Day
0.89700
Reported RN Staffing Hours per Resident per Day
0.88600
Reported Licensed Staffing Hours per Resident per Day
1.78300
Reported Total Nurse Staffing Hours per Resident per Day
3.94000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08600
Expected CNA Staffing Hours per Resident per Day
2.36381
Expected LPN Staffing Hours per Resident per Day
0.66439
Expected RN Staffing Hours per Resident per Day
1.05273
Expected Total Nurse Staffing Hours per Resident per Day
4.08093
Adjusted CNA Staffing Hours per Resident per Day
2.23903
Adjusted LPN Staffing Hours per Resident per Day
1.12059
Adjusted RN Staffing Hours per Resident per Day
0.62886
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89170
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-02
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
27.33300
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
Nursiong Homes Nearby
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Sterling Village
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Oakdale Rehabilitation & Skilled Nursing Center
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Holden Rehabilitation & Nursing Center
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Knollwood Nursing Center
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Crestwood Center
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Coleman House
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