Vibra Nursing & Rehabilitation Ctr of Western Mass
1400 State Street, Springfield, MA 01109


Vibra Nursing & Rehabilitation Ctr of Western Mass is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 225758. The address is 1400 State Street, Springfield, MA 01109. The zip code is 01109. The phone number is 4137266145.


Vibra Nursing & Rehabilitation Ctr of Western Mass · 1400 State Street, Springfield, MA 01109

Federal Provider Number 225758
Provider Name VIBRA NURSING & REHABILITATION CTR OF WESTERN MASS
Address 1400 STATE STREET
SPRINGFIELD, MA 01109
Phone Number 4137266145
SSA County Code 70
County Name Hampden
Ownership Type For profit - Corporation
Certified Beds 172
Certified Beds Residents 25
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC
Date First Approved to Provide Medicare Medicaid Services 04/24/2001
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.56
Reported LPN Staffing Hours per Resident per Day 0.64
Reported RN Staffing Hours per Resident per Day 0.936
Reported Licensed Staffing Hours per Resident per Day 1.576
Reported Total Nurse Staffing Hours per Resident per Day 4.136
Reported Physical Therapist Staffing Hours per Resident Per Day 0.008
Expected CNA Staffing Hours per Resident per Day 1.6488
Expected LPN Staffing Hours per Resident per Day 0.46693
Expected RN Staffing Hours per Resident per Day 0.65963
Expected Total Nurse Staffing Hours per Resident per Day 2.77537
Adjusted CNA Staffing Hours per Resident per Day 3.80972
Adjusted LPN Staffing Hours per Resident per Day 1.13764
Adjusted RN Staffing Hours per Resident per Day 1.06025
Adjusted Total Nurse Staffing Hours per Resident per Day 6.00706
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 05/25/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 01/20/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 34
Number of Fines 1
Total Amount of Fines in Dollars $10563.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Vibra Nursing & Rehabilitation Ctr of Western Mass

Owner Name Role Association Date
FEGAN, CLINT (Individual) OFFICER since 09/01/2013
HOLLINGER, BRAD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
HOLLINGER, BRAD (Individual) OFFICER since 09/01/2013
MIDCAP FUNDING IV, TRUST (Organization) 5% OR GREATER SECURITY INTEREST since 09/01/2013
MRT OF SPRINGFIELD MA - 1ST MORTGAGE ACH, LLC (Organization) 5% OR GREATER SECURITY INTEREST since 08/01/2014
RANSTROM, THOMAS (Individual) MANAGING EMPLOYEE since 07/13/2015
SWILLO, ANN THERESE (Individual) MANAGING EMPLOYEE since 09/01/2013
THOMAS, MICHAEL (Individual) OFFICER since 06/01/2015
VIBRA HEALTHCARE II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2013
VIBRA MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2013

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