Wachusett Manor - Gardner Nursing Home

General Information

UPDATE
Federal Provider Number
225533
Provider Name
WACHUSETT MANOR
Provider Address
32 HOSPITAL HILL ROAD
GARDNER, MA 1440
Provider Phone Number
(978) 632-5477
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-01-08
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.19462
Reported LPN Staffing Hours per Resident per Day
0.76667
Reported RN Staffing Hours per Resident per Day
0.73656
Reported Licensed Staffing Hours per Resident per Day
1.50323
Reported Total Nurse Staffing Hours per Resident per Day
3.69785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02581
Expected CNA Staffing Hours per Resident per Day
2.47045
Expected LPN Staffing Hours per Resident per Day
0.57963
Expected RN Staffing Hours per Resident per Day
0.84850
Expected Total Nurse Staffing Hours per Resident per Day
3.89859
Adjusted CNA Staffing Hours per Resident per Day
2.17974
Adjusted LPN Staffing Hours per Resident per Day
1.09782
Adjusted RN Staffing Hours per Resident per Day
0.64862
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82335
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
2014-11-17
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
2014-05-27
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
13163
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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