Worcester Rehabilitation & Health Care Center - Worcester Nursing Home
General Information
UPDATEFederal Provider Number
225199
Provider Name
WORCESTER REHABILITATION & HEALTH CARE CENTER
Provider Address
119 PROVIDENCE STREET
WORCESTER, MA 1604
WORCESTER, MA 1604
Provider Phone Number
(508) 860-5000
Provider SSA County
170
Provider County Name
Worcester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WORCESTER MA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1970-08-10
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
1.96402
Reported LPN Staffing Hours per Resident per Day
0.90467
Reported RN Staffing Hours per Resident per Day
0.75888
Reported Licensed Staffing Hours per Resident per Day
1.66355
Reported Total Nurse Staffing Hours per Resident per Day
3.62757
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07804
Expected CNA Staffing Hours per Resident per Day
2.55957
Expected LPN Staffing Hours per Resident per Day
0.60898
Expected RN Staffing Hours per Resident per Day
0.87877
Expected Total Nurse Staffing Hours per Resident per Day
4.04732
Adjusted CNA Staffing Hours per Resident per Day
1.88279
Adjusted LPN Staffing Hours per Resident per Day
1.23301
Adjusted RN Staffing Hours per Resident per Day
0.64526
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61285
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
44.00000
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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