General Information: BERKSHIRE PLACE
Nursing home name BERKSHIRE PLACE
Address455 DOUGLAS AVENUE
PROVIDENCE, RI 02908
Phone number (401) 553-8600
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 210
Total number of residents 178
Perc of occupied beds 84
Sprinkler status Yes
Number of Facility Reported Incidents7
Number of Substantiated Complaints2
Number of Fines1
Total Amount of Fines$55575
Total Number of Penalties1
Total Number of Penalties2
Ratings Summary: BERKSHIRE PLACE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: BERKSHIRE PLACE
National AverageRhode Island AverageBERKSHIRE PLACE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 178
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.84 hours 3.82 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.28 hours 1.03 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.97 hours 0.61 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.31 hours 0.42 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.56 hours 2.79 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.06 hours 0.05 hours
Health Survey: BERKSHIRE PLACE
Heath Survey Summary on 2013-12-20
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2012-12-07
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-01-27
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: BERKSHIRE PLACE
Inspection Results: 12/07/2012
Corrected Deficiency Scope and Severity
01/18/2013 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
01/18/2013 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BERKSHIRE PLACE
Fire Safety Survey Summary on 2013-12-20
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-12-07
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-01-27
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: BERKSHIRE PLACE
Not available

Resident Complaints: BERKSHIRE PLACE
Date Complaint Substantiated: 04/23/2012
CorrectedCategoryDeficiencySeverity
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Date Complaint Substantiated: 09/15/2011
CorrectedCategoryDeficiencySeverity
Provide timely notification to the resident before transfer or discharge. D
Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. D
Tell the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave. D
Date Complaint Substantiated: 06/30/2011
CorrectedCategoryDeficiencySeverity
07/26/2011Ensure that residents are safe from serious medication errors. E
07/26/2011Ensure services provided by the nursing facility meet professional standards of quality. E
07/26/2011Allow residents to self-administer drugs if determined safe. E

Quality Measures: BERKSHIRE PLACE
Quality Measures National Average Rhode Island Average BERKSHIRE PLACE
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.4% 22.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.2% 8.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.3% 3.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 2.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 42.7% 29.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.5% 0.8%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 9.1%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.1% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.4% 1.1%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.7% 4.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.0% 93.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.7% 93.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 18.5% 30.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.7% 24.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.8% 1.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.0% 51.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.3% 58.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.1% 4.5%

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