Willow Manor - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
225511
Provider Name
WILLOW MANOR
Provider Address
30 PRINCETON BOULEVARD
LOWELL, MA 1851
LOWELL, MA 1851
Provider Phone Number
(978) 954-8086
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
79
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
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
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
2.01962
Reported LPN Staffing Hours per Resident per Day
0.83671
Reported RN Staffing Hours per Resident per Day
0.82025
Reported Licensed Staffing Hours per Resident per Day
1.65696
Reported Total Nurse Staffing Hours per Resident per Day
3.67658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07342
Expected CNA Staffing Hours per Resident per Day
2.32367
Expected LPN Staffing Hours per Resident per Day
0.59472
Expected RN Staffing Hours per Resident per Day
0.93691
Expected Total Nurse Staffing Hours per Resident per Day
3.85530
Adjusted CNA Staffing Hours per Resident per Day
2.13264
Adjusted LPN Staffing Hours per Resident per Day
1.16773
Adjusted RN Staffing Hours per Resident per Day
0.65416
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84404
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
20
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
2013-03-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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