Kindred Nursing & Rehabilitation-laurel Lake - Lee Nursing Home
General Information
UPDATEFederal Provider Number
225749
Provider Name
KINDRED NURSING & REHABILITATION-LAUREL LAKE
Provider Address
620 LAUREL STREET
LEE, MA 1238
LEE, MA 1238
Provider Phone Number
(413) 243-2010
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAUREL LAKE HEALTH AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1999-06-08
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21582
Reported LPN Staffing Hours per Resident per Day
0.70063
Reported RN Staffing Hours per Resident per Day
0.95190
Reported Licensed Staffing Hours per Resident per Day
1.65253
Reported Total Nurse Staffing Hours per Resident per Day
3.86835
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11203
Expected CNA Staffing Hours per Resident per Day
2.53947
Expected LPN Staffing Hours per Resident per Day
0.63927
Expected RN Staffing Hours per Resident per Day
1.00361
Expected Total Nurse Staffing Hours per Resident per Day
4.18235
Adjusted CNA Staffing Hours per Resident per Day
2.14098
Adjusted LPN Staffing Hours per Resident per Day
0.90967
Adjusted RN Staffing Hours per Resident per Day
0.70870
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72827
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
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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