| General |
| City |
| Worcester |
South Yarmouth |
| State attribute explanation |
| Ma |
Ma |
| Street |
| 383 Mill Street |
265 N Main St |
| Zip Code |
| 1602 |
2,664 |
| Phone |
| 5,087,918,131 |
5,083,943,514 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 101 |
120 |
| Total Number of Residents |
| 96 |
108 |
|
Percent of Occupied Beds |
| 95 % |
90 % |
| Health Survey Date |
| 9/7/2011 |
5/26/2011 |
| Fire Survey Date |
| 9/20/2011 |
6/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| 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 |
4 |
|
| Staff Information |
| Number of Residents |
| 96 |
108 |
| Number of RN Hours Per Resident Per Day |
| 0.6 |
1.03 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.63 |
0.34 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.23 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/13/2010date Of Correction: 12/27/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/20/2010date Of Correction: 08/09/2010 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 10/13/2010date Of Correction: 12/27/2010 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/04/2010date Of Correction: 05/13/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.7 % |
30.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.8 % |
12 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.4 % |
1.8 % |
| Percent of long-stay residents who lose too much weight |
| 7.8 % |
9.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
37.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
5.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.4 % |
3.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.3 % |
8.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.1 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.7 (72.9) |
30.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.9 % |
86.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.9 % |
100 % |
| 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 % |
1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.1 % |
32.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.3 % |
13.6-28 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1 % |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 6.4 % |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 78.3 % |
39.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.7 % |
3.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.7 % |
8.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
1.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.5 % |
0.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.8 % |
28.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77.6 % |
80 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.9 % |
98.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
20.2 (68.4) |