Provider Name: KNOLLWOOD NURSING CENTER
Address: 87 BRIARWOOD CIRCLE, WORCESTER, MA 01606
Phone: (508) 853-6910
County: Worcester (170)
Ownership Type: Non profit - Corporation
Certified Beds: 82
Average Residents Per Day: 74.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SALEM COMMUNITY CORPORATION
First Approved Date: January 7, 1970
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.26510, LPN Staff Hours Per Day: 1.1393, RN Staff Hours Per Day: 0.5456, Licensed Staff Hours Per Day: 1.6850
Total Nurse Staff Hours Per Day, per resident: 3.95010
Weekend Nurse Staff Hours: 3.49664, Weekend RN Staff Hours: 0.2960
PT Staff Hours Per Day, per resident: 0.0501
Nurse Staff Turnover: 100., Nurse Turnover Note:
RN Turnover: 100., RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2244, Case Mix LPN Hours Per Day: 0.6582, Case Mix RN Hours Per Day: 0.2968
Adjusted Nurse Aide Hours Per Day, per resident: 2.07447, Adjusted LPN Hours Per Day: 1.2773, Adjusted RN Hours Per Day: 0.6926
Total Adjusted Nurse Hours Per Day, per resident: 3.91595
Adjusted Weekend Nurse Hours Per Day, per resident: 3.46641
Health Survey Dates and Scores: Cycle 1: 2023-05-09 (Score: 4), Cycle 2: 2021-12-21 (Score: 20), Cycle 3: 2019-07-02 (Score: 0)
Total Weighted Health Score: 8.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 12703.45, Payment Denials Number: 0, Total Penalties Number: 4
Location and GPS: 87 BRIARWOOD CIRCLE,WORCESTER,MA,01606 (42.3178, -71.773)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-06-06
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-10
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-10
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-10
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-10
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0022, Version: New
Description: Establish policies and procedures for sheltering.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-13
Type: Fire Safety, Tag: 0024, Version: New
Description: Establish policies and procedures for volunteers.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-13
Type: Fire Safety, Tag: 0026, Version: New
Description: Establish roles under a Waiver declared by secretary.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-13