Berkshire Health Care Center - Sandisfield Nursing Home
General Information
UPDATEFederal Provider Number
225771
Provider Name
BERKSHIRE HEALTH CARE CENTER
Provider Address
7 SANDISFIELD ROAD BOX 216
SANDISFIELD, MA 1255
SANDISFIELD, MA 1255
Provider Phone Number
4132584731
Provider SSA County
10
Provider County Name
Berkshire
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKSHIRE MA SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2006-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
1.71930
Reported LPN Staffing Hours per Resident per Day
0.66842
Reported RN Staffing Hours per Resident per Day
0.79298
Reported Licensed Staffing Hours per Resident per Day
1.46140
Reported Total Nurse Staffing Hours per Resident per Day
3.18070
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07982
Expected CNA Staffing Hours per Resident per Day
1.82463
Expected LPN Staffing Hours per Resident per Day
0.50124
Expected RN Staffing Hours per Resident per Day
0.66304
Expected Total Nurse Staffing Hours per Resident per Day
2.98891
Adjusted CNA Staffing Hours per Resident per Day
2.31206
Adjusted LPN Staffing Hours per Resident per Day
1.10683
Adjusted RN Staffing Hours per Resident per Day
0.89364
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28956
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
2015-04-14
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
2014-05-05
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
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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