Woburn Nursing Center, Inc - Woburn Nursing Home
General Information
UPDATEFederal Provider Number
225394
Provider Name
WOBURN NURSING CENTER, INC
Provider Address
18 FRANCES STREET
WOBURN, MA 1801
WOBURN, MA 1801
Provider Phone Number
7819338175
Provider SSA County
90
Provider County Name
Middlesex
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOBURN NURSING CENTER 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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.57143
Reported LPN Staffing Hours per Resident per Day
0.65754
Reported RN Staffing Hours per Resident per Day
1.24444
Reported Licensed Staffing Hours per Resident per Day
1.90198
Reported Total Nurse Staffing Hours per Resident per Day
4.47341
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17659
Expected CNA Staffing Hours per Resident per Day
2.67283
Expected LPN Staffing Hours per Resident per Day
0.63164
Expected RN Staffing Hours per Resident per Day
0.99812
Expected Total Nurse Staffing Hours per Resident per Day
4.30259
Adjusted CNA Staffing Hours per Resident per Day
2.36062
Adjusted LPN Staffing Hours per Resident per Day
0.86403
Adjusted RN Staffing Hours per Resident per Day
0.93159
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19093
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
2014-12-10
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-08-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
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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