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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 (35 years)
Capacity159
Residents135
Percent Occupied85%
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 2 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

October 7, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 15, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
ESomePotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
ESomePotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
ESomePotential for HarmHealth InspectionAssess in a timely manner the resident when the resident enters the nursing home.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionGive the resident's representative the ability to exercise the resident's rights.

November 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

August 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,300 fine
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.

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 - 3 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 - 3 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.

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.

2hr
2hr 35min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
3hr 50min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.9%
94.9%
94.9%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
93.5%
89.4%
88.1%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
42.9%
60.7%
46.9%
54.5%
53.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
12.7%
17.5%
16.1%
24.2%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
28.4%
35.4%
21.1%
12.6%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose ability to move independently worsened
26.7%
29.9%
23.4%
23.2%
18.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antipsychotic medication
40.4%
39.6%
20.4%
12.8%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose need for help with daily activities has increased
4.7%
7.7%
8.3%
3.3%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who self-report moderate to severe pain
5.5%
4.7%
6.1%
4.7%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who lose too much weight
4.0%
1.3%
1.3%
5.3%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
1.0%
1.0%
0.0%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who have depressive symptoms
2.7%
5.7%
1.0%
3.7%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a urinary tract infection
2.7%
3.7%
3.8%
1.8%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents experiencing one or more falls with major injury
1.7%
0.8%
0.0%
1.5%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.9%
0.9%
1.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

77.9%
86.0%
84.8%
72.8%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
88.4%
87.7%
87.7%
83.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
63.6%
58.9%
56.6%
71.4%
55.3%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who made improvements in function
24.2%
22.5%
18.3%
20.4%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
1.3%
2.2%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
0.0%
0.4%
0.5%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents with pressure ulcers that are new or worsened