Willimansett Center West - Chicopee Nursing Home
General Information
UPDATEFederal Provider Number
225256
Provider Name
WILLIMANSETT CENTER WEST
Provider Address
546 CHICOPEE STREET
CHICOPEE, MA 1013
CHICOPEE, MA 1013
Provider Phone Number
(413) 536-2540
Provider SSA County
70
Provider County Name
Hampden
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE NORTHEAST HEALTH GROUP, INC
Date First Approved to Provide Medicare and Medicaid services
1979-04-01
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
5
QM Rating Footnote
Staffing Rating
3
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
1.99063
Reported LPN Staffing Hours per Resident per Day
0.46250
Reported RN Staffing Hours per Resident per Day
0.92917
Reported Licensed Staffing Hours per Resident per Day
1.39167
Reported Total Nurse Staffing Hours per Resident per Day
3.38230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.56609
Expected LPN Staffing Hours per Resident per Day
0.62656
Expected RN Staffing Hours per Resident per Day
0.97678
Expected Total Nurse Staffing Hours per Resident per Day
4.16943
Adjusted CNA Staffing Hours per Resident per Day
1.90344
Adjusted LPN Staffing Hours per Resident per Day
0.61267
Adjusted RN Staffing Hours per Resident per Day
0.71078
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26992
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1820
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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