Provider Name: SPAULDING NURSING AND THERAPY CENTER - BRIGHTON
Address: 100 N BEACON STREET, BOSTON, MA 02134
Phone: (617) 325-5400
County: Suffolk (160)
Ownership Type: Non profit - Corporation
Certified Beds: 123
Average Residents Per Day: 74.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC.
First Approved Date: January 1, 1967
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 4.86193, LPN Staff Hours Per Day: 0.4734, RN Staff Hours Per Day: 3.6668, Licensed Staff Hours Per Day: 4.1403
Total Nurse Staff Hours Per Day, per resident: 9.00223
Weekend Nurse Staff Hours: 7.53872, Weekend RN Staff Hours: 2.6353
PT Staff Hours Per Day, per resident: 0.6120
Nurse Staff Turnover: 39.6, Nurse Turnover Note:
RN Turnover: 40.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9614, Case Mix LPN Hours Per Day: 0.7854, Case Mix RN Hours Per Day: 0.4349
Adjusted Nurse Aide Hours Per Day, per resident: 5.04972, Adjusted LPN Hours Per Day: 0.4448, Adjusted RN Hours Per Day: 3.1765
Total Adjusted Nurse Hours Per Day, per resident: 8.91781
Adjusted Weekend Nurse Hours Per Day, per resident: 7.46802
Health Survey Dates and Scores: Cycle 1: 2023-02-15 (Score: 0), Cycle 2: 2021-10-27 (Score: 24), Cycle 3: 2019-04-26 (Score: 12)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 7900.75, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 100 N BEACON STREET,BOSTON,MA,02134 (42.3545, -71.143)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-12-09
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-11-30
Type: Health, Deficiency: Respond appropriately to all alleged violations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-06
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-06
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-06
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-06
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0026, Version: New
Description: Establish roles under a Waiver declared by secretary.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-06
Type: Fire Safety, Tag: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-31
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-31
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-31