Countryside Nursing Home Inc
153 Winter Street, Framingham, MA 01701


Countryside Nursing Home Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 22E522. The address is 153 Winter Street, Framingham, MA 01701. The zip code is 01701. The phone number is 5088725250.


Countryside Nursing Home Inc · 153 Winter Street, Framingham, MA 01701

Federal Provider Number 22E522
Provider Name COUNTRYSIDE NURSING HOME INC
Address 153 WINTER STREET
FRAMINGHAM, MA 01701
Phone Number 5088725250
SSA County Code 90
County Name Middlesex
Ownership Type For profit - Corporation
Certified Beds 30
Certified Beds Residents 28
Provider Type Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 03/31/1974
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 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.33571
Reported LPN Staffing Hours per Resident per Day 0.36429
Reported RN Staffing Hours per Resident per Day 0.8
Reported Licensed Staffing Hours per Resident per Day 1.16429
Reported Total Nurse Staffing Hours per Resident per Day 3.5
Expected CNA Staffing Hours per Resident per Day 2.27623
Expected LPN Staffing Hours per Resident per Day 0.50549
Expected RN Staffing Hours per Resident per Day 0.63747
Expected Total Nurse Staffing Hours per Resident per Day 3.4192
Adjusted CNA Staffing Hours per Resident per Day 2.51781
Adjusted LPN Staffing Hours per Resident per Day 0.59815
Adjusted RN Staffing Hours per Resident per Day 0.93771
Adjusted Total Nurse Staffing Hours per Resident per Day 4.12616
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 03/09/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Standard Health Survey Date 02/16/2016
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 12/03/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 4.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Countryside Nursing Home Inc

Owner Name Role Association Date
() Ownership Data Not Available

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