Continuing Care At Brooksby Village - Peabody Nursing Home
General Information
UPDATEFederal Provider Number
225767
Provider Name
CONTINUING CARE AT BROOKSBY VILLAGE
Provider Address
400 BROOKSBY VILLAGE DRIVE
PEABODY, MA 1960
PEABODY, MA 1960
Provider Phone Number
(978) 536-2150
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKSBY VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
2004-03-05
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
3
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
2.55833
Reported LPN Staffing Hours per Resident per Day
0.72892
Reported RN Staffing Hours per Resident per Day
1.22157
Reported Licensed Staffing Hours per Resident per Day
1.95049
Reported Total Nurse Staffing Hours per Resident per Day
4.50882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09755
Expected CNA Staffing Hours per Resident per Day
2.72575
Expected LPN Staffing Hours per Resident per Day
0.59120
Expected RN Staffing Hours per Resident per Day
0.87397
Expected Total Nurse Staffing Hours per Resident per Day
4.19093
Adjusted CNA Staffing Hours per Resident per Day
2.30299
Adjusted LPN Staffing Hours per Resident per Day
1.02334
Adjusted RN Staffing Hours per Resident per Day
1.04438
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33665
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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