Waban Health Center - Waban Nursing Home
General Information
UPDATEFederal Provider Number
225553
Provider Name
WABAN HEALTH CENTER
Provider Address
20 KINMONTH ROAD
WABAN, MA 2468
WABAN, MA 2468
Provider Phone Number
(617) 332-8481
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WABAN HEALTH CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.05122
Reported LPN Staffing Hours per Resident per Day
0.54146
Reported RN Staffing Hours per Resident per Day
0.73476
Reported Licensed Staffing Hours per Resident per Day
1.27622
Reported Total Nurse Staffing Hours per Resident per Day
3.32744
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02622
Expected CNA Staffing Hours per Resident per Day
2.20769
Expected LPN Staffing Hours per Resident per Day
0.57530
Expected RN Staffing Hours per Resident per Day
0.86636
Expected Total Nurse Staffing Hours per Resident per Day
3.64934
Adjusted CNA Staffing Hours per Resident per Day
2.27980
Adjusted LPN Staffing Hours per Resident per Day
0.78118
Adjusted RN Staffing Hours per Resident per Day
0.63370
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67534
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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