Benjamin Healthcare Center - Boston Nursing Home
General Information
UPDATEFederal Provider Number
225654
Provider Name
BENJAMIN HEALTHCARE CENTER
Provider Address
120 FISHER AVENUE
BOSTON, MA 2120
BOSTON, MA 2120
Provider Phone Number
(617) 738-1500
Provider SSA County
160
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
205
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDGAR P BENJAMIN HEALTHCARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.55526
Reported LPN Staffing Hours per Resident per Day
1.03553
Reported RN Staffing Hours per Resident per Day
0.63783
Reported Licensed Staffing Hours per Resident per Day
1.67336
Reported Total Nurse Staffing Hours per Resident per Day
4.22862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00362
Expected CNA Staffing Hours per Resident per Day
2.29447
Expected LPN Staffing Hours per Resident per Day
0.59069
Expected RN Staffing Hours per Resident per Day
0.84354
Expected Total Nurse Staffing Hours per Resident per Day
3.72870
Adjusted CNA Staffing Hours per Resident per Day
2.73259
Adjusted LPN Staffing Hours per Resident per Day
1.45505
Adjusted RN Staffing Hours per Resident per Day
0.56498
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57134
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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