Williamstown Commons Nursing & Rehab - Williamstown Nursing Home
General Information
UPDATEFederal Provider Number
225341
Provider Name
WILLIAMSTOWN COMMONS NURSING & REHAB
Provider Address
25 ADAMS ROAD
WILLIAMSTOWN, MA 1267
WILLIAMSTOWN, MA 1267
Provider Phone Number
(413) 458-2111
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWOOD OF WILLIAMSTOWN, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-02-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.34640
Reported LPN Staffing Hours per Resident per Day
1.10791
Reported RN Staffing Hours per Resident per Day
0.72410
Reported Licensed Staffing Hours per Resident per Day
1.83201
Reported Total Nurse Staffing Hours per Resident per Day
4.17841
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08129
Expected CNA Staffing Hours per Resident per Day
2.47064
Expected LPN Staffing Hours per Resident per Day
0.61317
Expected RN Staffing Hours per Resident per Day
1.00982
Expected Total Nurse Staffing Hours per Resident per Day
4.09363
Adjusted CNA Staffing Hours per Resident per Day
2.33031
Adjusted LPN Staffing Hours per Resident per Day
1.49969
Adjusted RN Staffing Hours per Resident per Day
0.53579
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11438
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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