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Brentwood Rehabilitation And Healthcare Ctr (The)

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About Brentwood Rehabilitation And Healthcare Ctr (The)

General Information

Legal Business NameBrentwood Operator LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 29, 1982 (34 years)
Capacity159
Residents132
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brentwood Rehabilitation And Healthcare Ctr (The)

Brentwood Rehabilitation And Healthcare Ctr (The)
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Massachusetts Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 24, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,300 fine

April 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CManyPotential for Minimal HarmFire Safety InspectionProperly protected cooking facilities.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
CManyPotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
CManyPotential for Minimal HarmFire Safety InspectionCorridor and hallway doors that block smoke.

April 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,500 fine
FManyPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

November 7, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for each resident in a way that maintains or improves their quality of life.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

August 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,502 fine
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

March 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

February 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brentwood Rehabilitation And Healthcare Ctr (The) require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 10min
2hr 25min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
50min
55min
ReportedExpected
RN
2hr 50min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.7%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
91.1%
95.5%
92.7%
94.3%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
52.5%
Q1 2015Q2 2015Q3 2015MA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
32.4%
29.4%
29.3%
19.3%
Q1 2015Q2 2015Q3 2015MA
Received an Antipsychotic Medication
47.7%
35.6%
26.4%
15.0%
Q1 2015Q2 2015Q3 2015MA
Need for Help with ADLs has Increased
3.8%
3.0%
5.1%
5.7%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
6.4%
10.2%
8.4%
6.7%
Q1 2015Q2 2015Q3 2015MA
Lose Too Much Weight
1.6%
1.5%
1.4%
4.8%
Q1 2015Q2 2015Q3 2015MA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015MA
Have Depressive Symptoms
1.8%
0.9%
0.9%
4.6%
Q1 2015Q2 2015Q3 2015MA
With a Urinary Tract Infection
0.9%
1.8%
1.8%
3.0%
Q1 2015Q2 2015Q3 2015MA
Experiencing One or More Falls with Major Injury
0.0%
0.0%
0.0%
2.6%
Q1 2015Q2 2015Q3 2015MA
With a Catheter Inserted and Left in Their Bladder
0.9%
0.9%
0.9%
1.2%
Q1 2015Q2 2015Q3 2015MA
Were Physically Restrained

Quality Measures for Short Stay Residents

83.9%
78.8%
74.1%
82.4%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
88.5%
82.4%
82.4%
85.2%
Q1 2015Q2 2015Q3 2015MA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.9%
13.7%
23.9%
17.5%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
5.7%
5.6%
3.2%
1.7%
Q1 2015Q2 2015Q3 2015MA
Newly Received an Antipsychotic Medication
0.8%
2.2%
1.1%
1.2%
Q1 2015Q2 2015Q3 2015MA
With Pressure Ulcers That Are New or Worsened