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Detailed information-WEST SIDE HOUSE LTC FACILITY

This is the detailed information about WEST SIDE HOUSE LTC FACILITY, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 225500
Provider State: MA
Provider Zip Code: 01609
Overall Rating: 2
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 3
Provider Phone Number: 5087526763
Provider City: WORCESTER
Provider SSA County Code: 170
Provider County Name: Worcester
Provider Address: 35 FRUIT STREET
Number of Certified Beds: 91
Number of Residents in Certified Beds: 64.7
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1990-07-01
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
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: 4
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.53509
Reported LPN Staffing Hours per Resident per Day: 1.18030
Reported RN Staffing Hours per Resident per Day: 0.47363
Reported Licensed Staffing Hours per Resident per Day: 1.65393
Reported Total Nurse Staffing Hours per Resident per Day: 4.18902
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.03438
Expected CNA Staffing Hours per Resident per Day: 1.87208
Expected LPN Staffing Hours per Resident per Day: 0.61379
Expected RN Staffing Hours per Resident per Day: 0.27972
Expected Total Nurse Staffing Hours per Resident per Day: 2.76559

Adjusted CNA Staffing Hours per Resident per Day: 2.82916
Adjusted LPN Staffing Hours per Resident per Day: 1.45925
Adjusted RN Staffing Hours per Resident per Day: 0.64415
Adjusted Total Nurse Staffing Hours per Resident per Day: 4.89020
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 01/27/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 12
Rating Cycle 1 Standard Survey Health Date: 2017-01-27
Rating Cycle 1 Total Number of Health Deficiencies: 17
Rating Cycle 1 Number of Standard Health Deficiencies: 12
Rating Cycle 1 Number of Complaint Health Deficiencies: 5
Rating Cycle 1 Health Deficiency Score: 96
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 96

Rating Cycle 2 Standard Health Survey Date: 2015-12-29
Rating Cycle 2 Total Number of Health Deficiencies: 19
Rating Cycle 2 Number of Standard Health Deficiencies: 18
Rating Cycle 2 Number of Complaint Health Deficiencies: 1
Rating Cycle 2 Health Deficiency Score: 140
Rating Cycle 2 Number of Health Revisits: 2
Rating Cycle 2 Health Revisit Score: 70
Rating Cycle 2 Total Health Score: 210
Total Weighted Health Survey Score: 141.600
Number of Facility Reported Incidents: 4
Number of Fines: 3
Total Amount of Fines in Dollars: 99369
Number of Payment Denials: 0
Total Number of Penalties: 3
Processing Date: 2018-04-01