Provider Name: BEAR MOUNTAIN AT ANDOVER
Address: 80 ANDOVER STREET, ANDOVER, MA 01810
Phone: (978) 470-3434
County: Essex (040)
Ownership Type: For profit - Partnership
Certified Beds: 135
Average Residents Per Day: 74.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BEAR MT ANDOVER LLC
First Approved Date: October 1, 1992
Affiliated Entity: BEAR MOUNTAIN HEALTHCARE (70)
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: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.18782, LPN Staff Hours Per Day: 1.0054, RN Staff Hours Per Day: 0.6863, Licensed Staff Hours Per Day: 1.6918
Total Nurse Staff Hours Per Day, per resident: 3.87964
Weekend Nurse Staff Hours: 3.34759, Weekend RN Staff Hours: 0.6389
PT Staff Hours Per Day, per resident: 0.1117
Nurse Staff Turnover: 60.4, Nurse Turnover Note:
RN Turnover: 68.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2109, Case Mix LPN Hours Per Day: 0.7098, Case Mix RN Hours Per Day: 0.3138
Adjusted Nurse Aide Hours Per Day, per resident: 2.01596, Adjusted LPN Hours Per Day: 1.0452, Adjusted RN Hours Per Day: 0.8242
Total Adjusted Nurse Hours Per Day, per resident: 3.78061
Adjusted Weekend Nurse Hours Per Day, per resident: 3.26215
Health Survey Dates and Scores: Cycle 1: 2023-06-21 (Score: 20), Cycle 2: 2022-05-31 (Score: 12), Cycle 3: 2019-08-16 (Score: 4)
Total Weighted Health Score: 14.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12155.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 80 ANDOVER STREET,ANDOVER,MA,01810 (42.6387, -71.159)
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 residents are fully informed and understand their health status, care and treatments.
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 2023-07-07
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2023-07-07
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-07-07
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 2023-07-07
Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 2023-07-07
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2022-06-15
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-15
Type: Health, Deficiency: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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 2019-08-30
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: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
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 2022-06-07
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-13