The information listed below provides an in-depth look into the type and quality of care offered at Pine Knoll Nursing Center. 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
PINE KNOLL NURSING CENTER
30 WATERTOWN STREET
LEXINGTON, MA 02420
(781) 862-8151
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
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| Overall Rating | |
Percent of Beds Occupied
88%
Number of Residents and Certified Beds
- Residents: 71
- Certified Beds: 81
This Facility Accepts
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is 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 "Very 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 Pine Knoll Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
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 | 1.9% |
| ADL Index Range: 0-5 | 4.0% |
| Total Percent: | 5.9% |
| |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.3% |
| ADL Index Range: 6-10 | 17.1% |
| ADL Index Range: 0-5 | 19.8% |
| Total Percent: | 41.2% |
| |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 4.8% |
| Total Percent: | 4.8% |
| |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 11.2% |
| ADL Index Range: 0-5 | 1.6% |
| Total Percent: | 12.8% |
| |
Extensive Services
- 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: 2-16 - Isolation for active infectious disease | 3.2% |
| Total Percent: | 3.2% |
| |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 6.1% |
| ADL Index Range: 6-10 - No Signs of depression | 7.8% |
| Total Percent: | 13.9% |
| |
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 | 7.5% |
| Total Percent: | 7.5% |
| |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 2-5 - Less restorative nursing | 3.2% |
| ADL Index Range: 0-1 - Less restorative nursing | 2.9% |
| Total Percent: | 6.1% |
| |
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: 6-10 - Two or more restorative nursing on 6+ days/wk | 0.8% |
| ADL Index Range: 0-1 - Less restorative nursing | 3.7% |
| Total Percent: | 4.5% |
| |
Rating Details For Pine Knoll Nursing Center
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.
| Registered Nurse (RN) Hours | 39 Minutes | 51 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 46 Minutes | 36 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 43 Minutes | 2 Hours and 29 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 25 Minutes | 1 Hour and 27 Minutes |
| Total Nurse Hours | 4 Hours and 8 Minutes | 3 Hours and 56 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.
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 92% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 10% | 14% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 7% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 7% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 62% | 63% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 15% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 12% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 2% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 89% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | - | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 26% | 18% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/03/2010.
Administration
Keep Accurate and Appropriate Medical Records. - Inspection Date: 09/24/2009
- Correction Date: 11/09/2009
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Environmental
Have a Program to Keep Infection from Spreading. - Inspection Date: 08/03/2010
- Correction Date: 08/28/2010
| | |
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. - Inspection Date: 09/24/2009
- Correction Date: 11/09/2009
| | |
Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan. - Inspection Date: 09/24/2009
- Correction Date: 11/09/2009
| | |
Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. - Inspection Date: 09/24/2009
- Correction Date: 11/09/2009
| |  |
Resident Rights
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. - Inspection Date: 09/24/2009
- Correction Date: 11/09/2009
|  | |
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
- Isolated
- Some Residents
- Many Residents