Wingate At Belvidere Rehab & Skilled Nursing Res - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
225489
Provider Name
WINGATE AT BELVIDERE REHAB & SKILLED NURSING RES
Provider Address
500 WENTWORTH AVENUE
LOWELL, MA 1852
LOWELL, MA 1852
Provider Phone Number
(978) 458-1271
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR RESIDENTIAL CARE/LOWELL, INC.
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.09528
Reported LPN Staffing Hours per Resident per Day
0.86132
Reported RN Staffing Hours per Resident per Day
0.69953
Reported Licensed Staffing Hours per Resident per Day
1.56085
Reported Total Nurse Staffing Hours per Resident per Day
3.65613
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10094
Expected CNA Staffing Hours per Resident per Day
2.57843
Expected LPN Staffing Hours per Resident per Day
0.66477
Expected RN Staffing Hours per Resident per Day
0.99012
Expected Total Nurse Staffing Hours per Resident per Day
4.23332
Adjusted CNA Staffing Hours per Resident per Day
1.99392
Adjusted LPN Staffing Hours per Resident per Day
1.07540
Adjusted RN Staffing Hours per Resident per Day
0.52791
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48131
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-25
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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