MASHPEE CARE AND REHABILITATION CENTER

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General
City	MASHPEE	vs	0% Nursing Homes USA have MASHPEE
State attribute explanation	MA	vs	2.8% Nursing Homes USA have MA	compare MA Nursing Homes USA
Street	161 FALMOUTH ROAD
Zip Code	2649
Phone	5084772490
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	1 (2.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (1)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	98 (10.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (98)
Total Number of Residents	82 (9.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (82)
Percent of Occupied Beds	84 % (0.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (84) %
Health Survey Date	4/2/2012
Fire Survey Date	4/27/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	Both	vs	29.8% Nursing Homes USA have Both
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	7 (0.48 lower than average)	vs	7.48

Staff Information
Number of Residents	82 (9.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.69 (0.08 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.73 (0.11 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.43 (0.16 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.07 (5.42 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.07 (0.03 lower than average)	vs	0.10

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: 1) Hire Only People With 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. survey Date: 02/23/2011 date Of Correction: 04/05/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With 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. survey Date: 04/14/2010 date Of Correction: 06/02/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 02/23/2011 date Of Correction: 04/05/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 04/12/2010 date Of Correction: 06/02/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 03/02/2010 date Of Correction: 04/09/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/12/2011 date Of Correction: 02/11/2012

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation survey Date: 04/14/2010 date Of Correction: 06/02/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	20.5 % (4.59 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	26.6 (79.9) % (9.94 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	13.3 % (0.72 % higher than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	8.1 / 8.8 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.9 % (12.73 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	10.7:1 %
Percent of long-stay residents who have depressive symptoms	13.9 / 15.3 %
Percent of long-stay residents who were physically restrained	2.6 / 3 %
Percent of short-stay residents who self-report moderate to severe pain	34.5 % (9.48 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	84.2 % (0.44 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	90.1 % (6.16 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 % (29.3 % higher than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	75.2 % (59.68 % higher than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	22 % (3.39 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.9 % (22.8 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	22.8 % (8.7 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	14.6 % (5.38 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	5.1 % (3.4 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	35.6 % (7.78 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.6 % (7.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	12.1:1 %
Percent of long-stay residents who have depressive symptoms	7.3 % (12.56 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	4.3 % (34.23 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.4 % (9.33 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	38.2 % (13.44 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	79.5 % (1.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	85 % (10.25 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 % (57.86 % higher than average)	vs	17.34 %