Brookline Health Care Center - Brookline Nursing Home
General Information
UPDATEFederal Provider Number
225509
Provider Name
BROOKLINE HEALTH CARE CENTER
Provider Address
99 PARK STREET
BROOKLINE, MA 2146
BROOKLINE, MA 2146
Provider Phone Number
(617) 731-1050
Provider SSA County
130
Provider County Name
Norfolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK, MARION AND VERNON STREETS OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.82675
Reported LPN Staffing Hours per Resident per Day
0.54912
Reported RN Staffing Hours per Resident per Day
1.16711
Reported Licensed Staffing Hours per Resident per Day
1.71623
Reported Total Nurse Staffing Hours per Resident per Day
3.54298
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10833
Expected CNA Staffing Hours per Resident per Day
2.39717
Expected LPN Staffing Hours per Resident per Day
0.59683
Expected RN Staffing Hours per Resident per Day
0.97924
Expected Total Nurse Staffing Hours per Resident per Day
3.97324
Adjusted CNA Staffing Hours per Resident per Day
1.86983
Adjusted LPN Staffing Hours per Resident per Day
0.76365
Adjusted RN Staffing Hours per Resident per Day
0.89055
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59439
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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