Wingate At Hampden Rehabilitative & Skld Nurs Resi - Hampden Nursing Home

General Information

UPDATE
Federal Provider Number
225265
Provider Name
WINGATE AT HAMPDEN REHABILITATIVE & SKLD NURS RESI
Provider Address
34 MAIN STREET
HAMPDEN, MA 1036
Provider Phone Number
(413) 566-5511
Provider SSA County
70
Provider County Name
Hampden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SRC HAMPDEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-05-27
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.30990
Reported LPN Staffing Hours per Resident per Day
0.60052
Reported RN Staffing Hours per Resident per Day
0.84688
Reported Licensed Staffing Hours per Resident per Day
1.44740
Reported Total Nurse Staffing Hours per Resident per Day
3.75730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04479
Expected CNA Staffing Hours per Resident per Day
2.61880
Expected LPN Staffing Hours per Resident per Day
0.56136
Expected RN Staffing Hours per Resident per Day
0.82044
Expected Total Nurse Staffing Hours per Resident per Day
4.00060
Adjusted CNA Staffing Hours per Resident per Day
2.16427
Adjusted LPN Staffing Hours per Resident per Day
0.88790
Adjusted RN Staffing Hours per Resident per Day
0.77128
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78576
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
2013-08-08
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
13650
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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