| General |
| City |
| Worcester |
Salem |
| State attribute explanation |
| Ma |
Ma |
| Street |
| 383 Mill Street |
Dove Avenue |
| Zip Code |
| 1602 |
1970 |
| Phone |
| 5,087,918,131 |
9,787,459,000 |
|
Overall Star Rating |
| 1 |
5 |
|
Health Inspections Star Rating |
| 1 |
5 |
|
Nurse Staffing Star Rating |
| 3 |
5 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 101 |
40 |
|
Total Number of Residents |
| 96 |
33 |
|
Percent of Occupied Beds |
| 95 % |
83 % |
| Health Survey Date |
| 9/7/2011 |
4/23/2012 |
| Fire Survey Date |
| 9/20/2011 |
4/23/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Both |
None |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 3 |
|
|
| Staff Information |
| Number of Residents |
| 96 |
33 |
| Number of RN Hours Per Resident Per Day |
| 0.6 |
2.97 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.63 |
0.58 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.23 |
3.55 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.64 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.64 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 11/03/2011date Of Correction: 12/22/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 11/03/2011date Of Correction: 12/22/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/03/2011date Of Correction: 12/22/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.7 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.4 % |
|
| Percent of long-stay residents who lose too much weight |
| 7.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 4.4 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 4.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.1 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.7 (72.9) |
42.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.9 % |
93.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.9 % |
91.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.5 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.1 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.3 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 1 % |
|
| Percent of long-stay residents who lose too much weight |
| 6.4 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 78.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
|
| Percent of long-stay residents with a urinary tract infection |
| 3.7 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 3.7 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.5 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.8 % |
43.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77.6 % |
93.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.9 % |
89.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
0.6 % |