Brentwood Rehabilitation And Healthcare Ctr (The) is an average performer in CMS ratings, earning a C grade with a score of 59/100. Located in Danvers, Massachusetts, the facility meets baseline standards across most quality metrics.
Staffing at Brentwood Rehabilitation And Healthcare Ctr (The) is near the national average, with 3.48 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 28 deficiencies at Brentwood Rehabilitation And Healthcare Ctr (The). While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.48 | 3.8 | Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.02 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Mar 12, 2025 · Pharmacy Service Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarMar 12, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Mar 12, 2025 · Resident Rights Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eMar 12, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Mar 12, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.1% | 4.5% | Better |
| Falls with major injury | 1.2% | 3.0% | Better |
| On antipsychotic medication | 14.4% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.9% | 14.0% | Better |
| Excessive weight loss | 0.5% | 7.5% | Better |
| New/worsened incontinence | 23.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 59 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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