West Side House Ltc Facility - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225500
Provider Name
WEST SIDE HOUSE LTC FACILITY
Provider Address
35 FRUIT STREET
WORCESTER, MA 1609
WORCESTER, MA 1609
Provider Phone Number
(508) 752-6763
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEST SIDE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.18876
Reported LPN Staffing Hours per Resident per Day
0.95618
Reported RN Staffing Hours per Resident per Day
0.69831
Reported Licensed Staffing Hours per Resident per Day
1.65449
Reported Total Nurse Staffing Hours per Resident per Day
3.84325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03315
Expected CNA Staffing Hours per Resident per Day
2.23927
Expected LPN Staffing Hours per Resident per Day
0.54246
Expected RN Staffing Hours per Resident per Day
0.72561
Expected Total Nurse Staffing Hours per Resident per Day
3.50735
Adjusted CNA Staffing Hours per Resident per Day
2.39835
Adjusted LPN Staffing Hours per Resident per Day
1.46301
Adjusted RN Staffing Hours per Resident per Day
0.71909
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41694
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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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