Pine Knoll Nursing Center - Lexington Nursing Home
General Information
UPDATEFederal Provider Number
225049
Provider Name
PINE KNOLL NURSING CENTER
Provider Address
30 WATERTOWN STREET
LEXINGTON, MA 2420
LEXINGTON, MA 2420
Provider Phone Number
(781) 862-8151
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONG TERM CENTERS OF LEXINGTON INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.42469
Reported LPN Staffing Hours per Resident per Day
0.76975
Reported RN Staffing Hours per Resident per Day
0.76852
Reported Licensed Staffing Hours per Resident per Day
1.53827
Reported Total Nurse Staffing Hours per Resident per Day
3.96296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12654
Expected CNA Staffing Hours per Resident per Day
2.40331
Expected LPN Staffing Hours per Resident per Day
0.54921
Expected RN Staffing Hours per Resident per Day
0.75425
Expected Total Nurse Staffing Hours per Resident per Day
3.70677
Adjusted CNA Staffing Hours per Resident per Day
2.47553
Adjusted LPN Staffing Hours per Resident per Day
1.16328
Adjusted RN Staffing Hours per Resident per Day
0.76134
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30949
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
2014-08-13
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
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
2013-07-08
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
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
2012-06-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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