Brookhaven At Lexington - Lexington Nursing Home
General Information
UPDATEFederal Provider Number
225367
Provider Name
BROOKHAVEN AT LEXINGTON
Provider Address
1010 WALTHAM STREET
LEXINGTON, MA 2421
LEXINGTON, MA 2421
Provider Phone Number
(781) 863-9660
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
38
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SYMMES LIFE CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-09
Continuing Care Retirement Community
Y
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
5
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
3.23289
Reported LPN Staffing Hours per Resident per Day
1.41974
Reported RN Staffing Hours per Resident per Day
1.26316
Reported Licensed Staffing Hours per Resident per Day
2.68289
Reported Total Nurse Staffing Hours per Resident per Day
5.91579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10132
Expected CNA Staffing Hours per Resident per Day
2.67818
Expected LPN Staffing Hours per Resident per Day
0.52981
Expected RN Staffing Hours per Resident per Day
0.76959
Expected Total Nurse Staffing Hours per Resident per Day
3.97758
Adjusted CNA Staffing Hours per Resident per Day
2.96192
Adjusted LPN Staffing Hours per Resident per Day
2.22417
Adjusted RN Staffing Hours per Resident per Day
1.22641
Adjusted Total Nurse Staffing Hours per Resident per Day
5.99510
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
2014-10-28
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
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2012-12-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
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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