LEDGEWOOD REHABILITATION AND SKILLED NURSING CENTER - BEVERLY, MA

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Addresss:

87 HERRICK STREET
BEVERLY, MA, 01915

Phone (make sure to verify first before calling): (978) 921-1392

Number of Certified Beds: 123
Total Number of Residents: 96
Percent of Occupied Beds: 78%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

A B L VISITING NURSING CERTIFIED (0.65 miles)
BEVERLY HOSPITAL CORPORATION (0.02 miles)
BEVERLY NURSING HOME (0.24 miles)
KINDRED TRANSITIONAL CARE AND REHAB-BLUEBERRY HILL (0.33 miles)
BLUEBERYHILL HEALTHCARE N H (0.33 miles)
NORTH SHORE REGIONAL DIALYSIS CENTER (0.65 miles)
RADIUS HEALTHCARE-BEVERLY (0.24 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.76

Administrative Staff - Part Time: 1.14

Certified Nurse Aides - Full Time: 43.44

Certified Nurse Aides - Part Time: 8.40

Food Service Personnel - Full Time: 8.10

Food Service Personnel - Part Time: 4.90

Housekeeping Personnel - Full Time: 1.99

Licensed Practical/ Vocational Nurses - Full Time: 13.97

Licensed Practical/ Vocational Nurses - Part Time: 3.20

Medical Directors - Under Contract: 0.03

Mental Health Services Personnel - Under Contract: 0.39

Nurses With Administrative Duties - Full Time: 4.69

Physical Therapists - Under Contract: 3.33

Registered Nurses - Full Time: 7.26

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 2.69

Activities Professionals - Full Time: 1.06

Dentists - Under Contract: 0.06

Occupational Therapists - Under Contract: 2.30

Pharmacists - Under Contract: 0.11

Persons Not Included In Any Other Categories - Under Contract: 2.79

Podiatrists - Under Contract: 0.07

Speech Pathologists - Under Contract: 0.46

Housekeeping Personnel - Under Contract: 7.90

Nurse Aides In Training - Full Time: 1.03

Registered Nurses - Under Contract: 1.49

Dietitians - Full Time: 0.46

Registered Nurses - Part Time: 4.16

Occupational Therapy Assistants - Under Contract: 3.29

Occupational Therapy Aides - Under Contract: 0.44

Number Of Beds

Total: 123

Total Certified: 123

For Residents With Alzeheimers: 41

For Residents With Specialized Rehab Needs: 41

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.290
Massachusetts:	0.845

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.930
State:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.220
Massachusetts:	1.661

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.450
Massachusetts:	0.100

Number Therapy Hours Per Resident Per Day

Here:	0.450
State:	0.101

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	6.3%
State:	13.3%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	19.9%
Massachusetts:	7.7%

Percent of long-stay residents who lose too much weight

Here:	2.4%
Massachusetts:	6.5%

Percent of long-stay residents with a urinary tract infection

Here:	4.8%
Massachusetts:	7.0%

Percent of long-stay residents who have depressive symptoms

Here:	14.6%
Massachusetts:	5.2%

Percent of long-stay residents who were physically restrained

Here:	2.3%
Massachusetts:	2.4%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.3%
State:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	97.7%
State:	96.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	95.3%
State:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	28.5%
State:	21.6%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.5%
Massachusetts:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	92.5%
Massachusetts:	90.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	88.6%
Massachusetts:	87.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	4.3%
Massachusetts:	2.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	25.6%
State:	25.2%

LEDGEWOOD REHABILITATION AND SKILLED NURSING CENTER - BEVERLY, MA

Staff Information

Complaint Deficiency

Quality Measures

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