Woodbriar Health Center - Wilmington Nursing Home
General Information
UPDATEFederal Provider Number
225568
Provider Name
WOODBRIAR HEALTH CENTER
Provider Address
90 WEST STREET
WILMINGTON, MA 1887
WILMINGTON, MA 1887
Provider Phone Number
(978) 658-2700
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHGATE HEALTHCARE SERVICES CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1993-04-08
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.29816
Reported LPN Staffing Hours per Resident per Day
1.20147
Reported RN Staffing Hours per Resident per Day
1.26287
Reported Licensed Staffing Hours per Resident per Day
2.46434
Reported Total Nurse Staffing Hours per Resident per Day
5.76250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29706
Expected CNA Staffing Hours per Resident per Day
2.66100
Expected LPN Staffing Hours per Resident per Day
0.67277
Expected RN Staffing Hours per Resident per Day
1.12151
Expected Total Nurse Staffing Hours per Resident per Day
4.45528
Adjusted CNA Staffing Hours per Resident per Day
3.04122
Adjusted LPN Staffing Hours per Resident per Day
1.48226
Adjusted RN Staffing Hours per Resident per Day
0.84138
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21360
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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