Berkeley Retirement Home,the - Lawrence Nursing Home
General Information
UPDATEFederal Provider Number
225640
Provider Name
BERKELEY RETIREMENT HOME,THE
Provider Address
150 BERKELEY STREET
LAWRENCE, MA 1841
LAWRENCE, MA 1841
Provider Phone Number
(978) 682-1614
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
19
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKELEY RETIREMENT HOME
Date First Approved to Provide Medicare and Medicaid services
1994-05-27
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.41389
Reported LPN Staffing Hours per Resident per Day
1.34444
Reported RN Staffing Hours per Resident per Day
0.93611
Reported Licensed Staffing Hours per Resident per Day
2.28056
Reported Total Nurse Staffing Hours per Resident per Day
5.69444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06667
Expected CNA Staffing Hours per Resident per Day
2.69667
Expected LPN Staffing Hours per Resident per Day
0.55157
Expected RN Staffing Hours per Resident per Day
0.80333
Expected Total Nurse Staffing Hours per Resident per Day
4.05157
Adjusted CNA Staffing Hours per Resident per Day
3.10630
Adjusted LPN Staffing Hours per Resident per Day
2.02309
Adjusted RN Staffing Hours per Resident per Day
0.87070
Adjusted Total Nurse Staffing Hours per Resident per Day
5.66538
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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