Berkshire Place - Pittsfield Nursing Home
General Information
UPDATEFederal Provider Number
225762
Provider Name
BERKSHIRE PLACE
Provider Address
290 SOUTH STREET
PITTSFIELD, MA 1201
PITTSFIELD, MA 1201
Provider Phone Number
(413) 445-4056
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
40
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
BERKSHIRE RETIREMENT HOME INC
Date First Approved to Provide Medicare and Medicaid services
2001-10-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.81250
Reported LPN Staffing Hours per Resident per Day
0.83625
Reported RN Staffing Hours per Resident per Day
1.39625
Reported Licensed Staffing Hours per Resident per Day
2.23250
Reported Total Nurse Staffing Hours per Resident per Day
5.04500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02875
Expected CNA Staffing Hours per Resident per Day
2.54950
Expected LPN Staffing Hours per Resident per Day
0.61405
Expected RN Staffing Hours per Resident per Day
0.84638
Expected Total Nurse Staffing Hours per Resident per Day
4.00993
Adjusted CNA Staffing Hours per Resident per Day
2.70682
Adjusted LPN Staffing Hours per Resident per Day
1.13035
Adjusted RN Staffing Hours per Resident per Day
1.23263
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07139
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
2015-02-10
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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