Wilmington Health Care Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
225504
Provider Name
WILMINGTON HEALTH CARE CENTER
Provider Address
750 WOBURN STREET
WILMINGTON, MA 1887
WILMINGTON, MA 1887
Provider Phone Number
(978) 988-0888
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
750 WOBURN STREET OPERATING COMPANY, LLC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.13028
Reported LPN Staffing Hours per Resident per Day
1.25550
Reported RN Staffing Hours per Resident per Day
1.06927
Reported Licensed Staffing Hours per Resident per Day
2.32477
Reported Total Nurse Staffing Hours per Resident per Day
4.45505
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14679
Expected CNA Staffing Hours per Resident per Day
2.45119
Expected LPN Staffing Hours per Resident per Day
0.62201
Expected RN Staffing Hours per Resident per Day
1.00514
Expected Total Nurse Staffing Hours per Resident per Day
4.07834
Adjusted CNA Staffing Hours per Resident per Day
2.13246
Adjusted LPN Staffing Hours per Resident per Day
1.67532
Adjusted RN Staffing Hours per Resident per Day
0.79487
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40323
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
2014-04-02
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-06
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
36
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
18075
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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