Kimball Farms Nursing Care Center · Berkshire Extended Care Services Inc

4136375011 · 40 Sunset Avenue, Lenox, MA 01240

Overview

Kimball Farms Nursing Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #225764. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 40 Sunset Avenue, Lenox, MA 01240. The overall rating is 5.

Federal Provider Number 225764
Provider Name KIMBALL FARMS NURSING CARE CENTER
Legal Business Name BERKSHIRE EXTENDED CARE SERVICES INC
Address 40 Sunset Avenue
Lenox
MA 01240
County Berkshire
Telephone 4136375011
Ownership Type Non profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 2002-05-06
Number of Certified Beds 74
Average Number of Residents per Day 62.2
Provider Resides in Hospital N
Continuing Care Retirement Community Y
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 5
Staffing Rating 3
Registered Nurses Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.47248
Reported LPN Staffing Hours per Resident per Day 1.29523
Reported RN Staffing Hours per Resident per Day 0.86531
Reported Licensed Staffing Hours per Resident per Day 2.16054
Reported Total Nurse Staffing Hours per Resident per Day 4.63302
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08473
Expected CNA Staffing Hours per Resident per Day 2.23410
Expected LPN Staffing Hours per Resident per Day 0.76734
Expected RN Staffing Hours per Resident per Day 0.51743
Expected Total Nurse Staffing Hours per Resident per Day 3.51887
Adjusted CNA Staffing Hours per Resident per Day 2.27846
Adjusted LPN Staffing Hours per Resident per Day 1.25062
Adjusted RN Staffing Hours per Resident per Day 0.66925
Adjusted Total Nurse Staffing Hours per Resident per Day 4.21305
Rating Cycle 1 Standard Survey Health Date 2019-04-16
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 12
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 36
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 36
Rating Cycle 2 Standard Health Survey Date 2017-12-13
Rating Cycle 2 Total Number of Health Deficiencies 2
Rating Cycle 2 Number of Standard Health Deficiencies 2
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 12
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 12
Rating Cycle 3 Standard Health Survey Date 2016-09-27
Rating Cycle 3 Total Number of Health Deficiencies 2
Rating Cycle 3 Number of Standard Health Deficiencies 2
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 12
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 24.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
KIMBALL FARMS NURSING CARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTBERKSHIRE RETIREMENT COMMUNITY INCOrganization100%since 05/01/2001
5% OR GREATER INDIRECT OWNERSHIP INTERESTBERKSHIRE HEALTHCARE SYSTEMS INCOrganization100%since 08/15/1988
MANAGING EMPLOYEEKITTLER, WILLIAMIndividualsince 12/02/2013
OFFICERJONES, WILLIAMIndividualsince 02/01/1993
OFFICERMURPHY, LYNNIndividualsince 07/01/2006
OFFICERPHELPS, DAVIDIndividualsince 11/01/1991
OPERATIONAL/MANAGERIAL CONTROLBHS MANAGEMENT SERVICES INCOrganizationsince 08/15/1988

Location Information

Street Address 40 SUNSET AVENUE
City LENOX
State MA
Zip Code 01240

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.