LEONARD FLORENCE CENTER FOR LIVING
The information listed below provides an in-depth look into the type and quality of care offered at Leonard Florence Center for Living. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
LEONARD FLORENCE CENTER FOR LIVING
165 CAPTAIN'S ROW
CHELSEA, MA 02150
(617) 887-0001
165 CAPTAIN'S ROW
CHELSEA, MA 02150
(617) 887-0001
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
5%Number of Residents and Certified Beds
- Residents: 5
- Certified Beds: 100
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Other
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Leonard Florence Center for Living. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 1.1% |
| ADL Index Range: 2-10 | 2.7% |
| Total Percent: | 3.9% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 1.6% |
| Total Percent: | 1.6% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.7% |
| Total Percent: | 0.7% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 12.9% |
| ADL Index Range: 6-10 | 30.0% |
| ADL Index Range: 0-5 | 20.4% |
| Total Percent: | 63.3% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.7% |
| ADL Index Range: 6-10 | 7.7% |
| ADL Index Range: 0-5 | 8.9% |
| Total Percent: | 21.3% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 1.6% |
| ADL Index Range: 0-5 | 1.1% |
| Total Percent: | 2.7% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 2.2% |
| ADL Index Range: 0-5 | 0.9% |
| Total Percent: | 3.1% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 0.7% |
| ADL Index Range: 2-5 - No Signs of depression | 0.2% |
| Total Percent: | 0.9% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - No Signs of depression | 0.1% |
| ADL Index Range: 6-10 - No Signs of depression | 0.05% |
| Total Percent: | 0.2% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 15-16 - Less restorative nursing | 0.05% |
| ADL Index Range: 11-14 - Less restorative nursing | 0.2% |
| ADL Index Range: 6-10 - Less restorative nursing | 0.6% |
| ADL Index Range: 2-5 - Less restorative nursing | 0.8% |
| ADL Index Range: 0-1 - Less restorative nursing | 0.7% |
| Total Percent: | 2.4% |
Rating Details For Leonard Florence Center for Living
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 48 Minutes | 1 Hour and 25 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 13 Minutes | 47 Minutes |
| Certified Nursing Assistant (CNA) Hours | 4 Hours and 36 Minutes | 2 Hours and 30 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 1 Minutes | 2 Hours and 11 Minutes |
| Total Nurse Hours | 6 Hours and 37 Minutes | 4 Hours and 42 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Massachusetts are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Massachusetts Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 92% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 21% | 9% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 2% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 6% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 16% | 5% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 28% | 14% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 12% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | 3% | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 30% | 18% |
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011
