Cycle 1
Health 2025-01-30 · Fire 2025-01-30
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Peabody, MA
Jeffrey & Susan Brudnick Center For Living
5-star overall rating with 4-star inspections with $10,194 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
240 Lynnfield Street, Peabody, MA
(781) 598-5310
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
180
Certified beds
Average residents
139
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Chelsea Jewish Lifecare
Operator or chain grouping
Approved since
1990-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 5 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.40
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.99
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.57
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
4.09
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
793
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0184
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.41
Baseline 20.36% · Performance 19.39% · Measure score 4.41 · Achievement 4.41 · Improvement 2.42
Healthcare-associated infections
10
Baseline 3.64% · Performance 4.52% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
7.58
Baseline 38.86% · Performance 32.68% · Measure score 7.58 · Achievement 7.58 · Improvement 3.91
Adjusted total nurse staffing
3.51
Baseline 4.81 hours · Performance 4.08 hours · Measure score 3.51 · Achievement 3.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.48% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 1056 · Observed rate 9% · Lower 95% interval 8.71% |
| Discharge to community | 66.22% |
50.57%
15.6 pts better
|
Better than the National Rate · Eligible stays 1072 · Observed rate 64.37% · Lower 95% interval 63.04% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.83% |
95.27%
4.6 pts better
|
Numerator 599 · Denominator 600 |
| Falls with major injury | 0.17% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 600 |
| Discharge self-care score | 56.2% |
53.69%
2.5 pts better
|
Numerator 290 · Denominator 516 |
| Discharge mobility score | 50.97% |
50.94%
About the same
|
Numerator 263 · Denominator 516 |
| Pressure ulcers or injuries, new or worsened | 0.67% |
2.29%
1.6 pts better
|
Numerator 4 · Denominator 600 · Adjusted rate 0.91% |
| Healthcare-associated infections requiring hospitalization | 4.52% |
7.12%
2.6 pts better
|
Better than the National Rate · Eligible stays 615 · Observed rate 2.76% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 21.33% |
8.2%
13.1 pts better
|
Numerator 48 · Denominator 225 |
| Staff flu vaccination coverage | 57.96% |
42%
16 pts better
|
Numerator 193 · Denominator 333 |
| Discharge function score | 67.83% |
56.45%
11.4 pts better
|
Numerator 350 · Denominator 516 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 63 · Denominator 63 |
| Transfer of health information to patient | 99.57% |
96.28%
3.3 pts better
|
Numerator 460 · Denominator 462 |
| Resident COVID-19 vaccinations up to date | 54% |
25.2%
28.8 pts better
|
Numerator 162 · Denominator 300 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.5
1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
92.2%
7.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.0% · Q4 99.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
94.8%
3.4 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.5%
0.8 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.0% · Q3 3.0% · Q4 3.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 36.1% |
12.0%
24.1 pts worse
|
11.4%
24.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.8% · Q2 38.4% · Q3 26.4% · Q4 29.0% · 4Q avg 36.1% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
5.2%
2.4 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.9% · Q3 1.3% · Q4 1.3% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.4% |
19.2%
10.8 pts better
|
19.6%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.5% · Q3 7.6% · Q4 10.1% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
22.5%
8.9 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.1% · Q3 13.6% · Q4 15.6% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.2% |
17.7%
4.5 pts better
|
16.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 21.3% · Q3 14.0% · Q4 0.0% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
17.6%
1 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 21.3% · Q3 10.7% · Q4 8.1% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.0%
0.1 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.7% · Q3 0.8% · Q4 1.3% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.0%
0.7 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.0% · Q3 0.0% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.1% |
21.7%
6.6 pts better
|
19.8%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 22.3% · Q3 14.2% · Q4 10.8% · 4Q avg 15.1% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
4.6%
0.9 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.2% · Q3 3.5% · Q4 2.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
77.1%
19.6 pts better
|
81.7%
15 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.8% · Q3 93.6% · Q4 95.2% · 4Q avg 96.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
11.8%
4 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.0% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.3%
0.9 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.8% · Q3 0.0% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
77.7%
12 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
25.8%
1.2 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 21.4% · Expected 18.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-01 · Fire 2024-02-01
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-22 · Fire 2022-12-22
7 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-30
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-06
F · Potential for more than minimal harm
2025-01-30
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-12
D · Potential for more than minimal harm
2025-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-19
D · Potential for more than minimal harm
2025-01-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-27
D · Potential for more than minimal harm
2022-12-22
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-01-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-02
D · Potential for more than minimal harm
2025-01-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-02
D · Potential for more than minimal harm
2025-01-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-02
D · Potential for more than minimal harm
2025-01-30
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-03-02
G · Actual harm
2024-02-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-17
E · Potential for more than minimal harm
2024-02-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-17
E · Potential for more than minimal harm
2024-02-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-17
E · Potential for more than minimal harm
2024-02-01
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-17
D · Potential for more than minimal harm
2024-02-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-17
E · Potential for more than minimal harm
2022-12-22
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-02-03
D · Potential for more than minimal harm
2022-12-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-03
Penalties and ownership
What sits behind the stars
$10,194
2024-02-01
Fine
Fine · fine $10,194
Fine
Ownership
Chelsea Jewish Lifecare Inc
5% Or Greater Direct Ownership Interest · Organization
Legacy Lifecare Inc
5% Or Greater Indirect Ownership Interest · Organization
Anfang, Stuart
Operational/Managerial Control · Individual
Anfang, Stuart
Corporate Director · Individual
Baker Tilly Us, Llp
Operational/Managerial Control · Organization
Berman, Adam
Operational/Managerial Control · Individual
Berman, Adam
Corporate Director · Individual
Berman, Adam
Corporate Officer · Individual
Berman, Barry
Operational/Managerial Control · Individual
Berman, Barry
Corporate Director · Individual
Berman, Barry
Corporate Officer · Individual
Brudnick, Jeffrey
Operational/Managerial Control · Individual
Brudnick, Jeffrey
Corporate Director · Individual
Chelsea Jewish Lifecare Inc
Operational/Managerial Control · Organization
Crescenzo, Donna
Operational/Managerial Control · Individual
Desesa, Vanessa
Operational/Managerial Control · Individual
Fiebelkorn, Douglas
Operational/Managerial Control · Individual
Fiebelkorn, Douglas
Corporate Director · Individual
Foreman, Sharon
Operational/Managerial Control · Individual
Foreman, Sharon
Corporate Director · Individual
Goldsmith, Susan
Operational/Managerial Control · Individual
Goldsmith, Susan
Corporate Director · Individual
Gomez, Marco
Operational/Managerial Control · Individual
Greenspan, Howard
Operational/Managerial Control · Individual
Greenspan, Howard
Corporate Director · Individual
Hentosh, Maureen
Operational/Managerial Control · Individual
Millard, Michael
Operational/Managerial Control · Individual
Mullen, Elizabeth
Corporate Director · Individual
Mullen, Elizabeth
Corporate Officer · Individual
Richman, Gilda
Operational/Managerial Control · Individual
Richman, Gilda
Corporate Director · Individual
Richman, Gilda
Corporate Officer · Individual
Rodriguez, Hernando
Operational/Managerial Control · Individual
Rosen, Ronald
Operational/Managerial Control · Individual
Sacco, Ashley
Operational/Managerial Control · Individual
Santerre, Jennifer
Operational/Managerial Control · Individual
Santerre, Jennifer
Corporate Officer · Individual
Starion, Tammy
Operational/Managerial Control · Individual
Van Eck, Lisa
Operational/Managerial Control · Individual
Weiss, Judy
Operational/Managerial Control · Individual
Weiss, Judy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Pilgrim Rehabilitation & Skilled Nursing Center
Peabody, MA
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Care One At Peabody
Peabody, MA
4-star overall rating with 4-star inspections with 4 recent health deficiencies
#3
Alliance Health At Rosewood
Peabody, MA
3-star overall rating with 3-star inspections with $8,824 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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