Kimball Farms Nursing Care Center - Lenox Nursing Home
General Information
UPDATEFederal Provider Number
225764
Provider Name
KIMBALL FARMS NURSING CARE CENTER
Provider Address
40 SUNSET AVENUE
LENOX, MA 1240
LENOX, MA 1240
Provider Phone Number
(413) 637-5011
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKSHIRE EXTENDED CARE SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
2002-05-06
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
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
2.21143
Reported LPN Staffing Hours per Resident per Day
0.78571
Reported RN Staffing Hours per Resident per Day
1.24071
Reported Licensed Staffing Hours per Resident per Day
2.02643
Reported Total Nurse Staffing Hours per Resident per Day
4.23785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07857
Expected CNA Staffing Hours per Resident per Day
2.62071
Expected LPN Staffing Hours per Resident per Day
0.63584
Expected RN Staffing Hours per Resident per Day
0.98553
Expected Total Nurse Staffing Hours per Resident per Day
4.24208
Adjusted CNA Staffing Hours per Resident per Day
2.07050
Adjusted LPN Staffing Hours per Resident per Day
1.02564
Adjusted RN Staffing Hours per Resident per Day
0.94067
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02688
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
2014-05-22
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-05-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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