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Detailed information-LIFE CARE CENTER OF WILBRAHAM

This is the detailed information about LIFE CARE CENTER OF WILBRAHAM, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 225543
Provider Name: LIFE CARE CENTER OF WILBRAHAM
Provider State: MA
Provider Zip Code: 01095
Overall Rating: 3
Ownership Type: For profit - Partnership
Number of Substantiated Complaints: 1
Provider Phone Number: 4135963111
Provider City: WILBRAHAM
Provider SSA County Code: 070
Provider County Name: Hampden
Provider Address: 2399 BOSTON ROAD
Number of Certified Beds: 123
Number of Residents in Certified Beds: 114.5
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: WILBRAHAM MEDICAL INVESTORS LP
Date First Approved to Provide Medicare and Medicaid services: 1991-12-12
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: 3
Health Inspection Rating Footnote:
QM Rating: 4
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: 2.13217
Reported LPN Staffing Hours per Resident per Day: 1.02229
Reported RN Staffing Hours per Resident per Day: 0.60727
Reported Licensed Staffing Hours per Resident per Day: 1.62956
Reported Total Nurse Staffing Hours per Resident per Day: 3.76172
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.12435
Expected CNA Staffing Hours per Resident per Day: 2.34568
Expected LPN Staffing Hours per Resident per Day: 0.73669
Expected RN Staffing Hours per Resident per Day: 0.34967
Expected Total Nurse Staffing Hours per Resident per Day: 3.43205

Adjusted CNA Staffing Hours per Resident per Day: 1.89907
Adjusted LPN Staffing Hours per Resident per Day: 1.05305
Adjusted RN Staffing Hours per Resident per Day: 0.66066
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.53864
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: 07/17/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 0
Rating Cycle 1 Standard Survey Health Date: 2017-07-17
Rating Cycle 1 Total Number of Health Deficiencies: 3
Rating Cycle 1 Number of Standard Health Deficiencies: 0
Rating Cycle 1 Number of Complaint Health Deficiencies: 3
Rating Cycle 1 Health Deficiency Score: 36
Rating Cycle 1 Number of Health Revisits: 0
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 36

Rating Cycle 2 Standard Health Survey Date: 2016-05-09
Rating Cycle 2 Total Number of Health Deficiencies: 2
Rating Cycle 2 Number of Standard Health Deficiencies: 2
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 12
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 12
Total Weighted Health Survey Score: 26.400
Number of Facility Reported Incidents: 1
Number of Fines: 1
Total Amount of Fines in Dollars: 8518
Number of Payment Denials: 0
Total Number of Penalties: 1
Processing Date: 2018-04-01