Springside Rehabilitation And Skilled Care Center - Pittsfield Nursing Home

General Information

UPDATE
Federal Provider Number
225386
Provider Name
SPRINGSIDE REHABILITATION AND SKILLED CARE CENTER
Provider Address
255 LEBANON AVENUE
PITTSFIELD, MA 1201
Provider Phone Number
(413) 499-2334
Provider SSA County
10
Provider County Name
Berkshire
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GAHCR II PITTSFIELD MA SNF TRS SUB, 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
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33349
Reported LPN Staffing Hours per Resident per Day
0.97339
Reported RN Staffing Hours per Resident per Day
0.47844
Reported Licensed Staffing Hours per Resident per Day
1.45183
Reported Total Nurse Staffing Hours per Resident per Day
3.78532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08624
Expected CNA Staffing Hours per Resident per Day
2.50372
Expected LPN Staffing Hours per Resident per Day
0.62285
Expected RN Staffing Hours per Resident per Day
0.95381
Expected Total Nurse Staffing Hours per Resident per Day
4.08038
Adjusted CNA Staffing Hours per Resident per Day
2.28687
Adjusted LPN Staffing Hours per Resident per Day
1.29713
Adjusted RN Staffing Hours per Resident per Day
0.37480
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73942
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
2012-03-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
5142
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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