| General |
| City |
| Holden |
Scituate |
| State attribute explanation |
| Ma |
Ma |
| Street |
| 32 Mayo Road |
309 Driftway Box 830 |
| Zip Code |
| 1520 |
2,066 |
| Phone |
| 5,088,294,327 |
7,815,451,370 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 100 |
117 |
|
Total Number of Residents |
| 87 |
103 |
|
Percent of Occupied Beds |
| 87 % |
88 % |
| Health Survey Date |
| 3/22/2012 |
4/19/2012 |
| Fire Survey Date |
| 4/26/2012 |
5/8/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
| 2 |
1 |
|
| Staff Information |
| Number of Residents |
| 87 |
103 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.79 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.94 |
0.63 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.59 |
1.42 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.16 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.16 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 05/27/2009date Of Correction: 06/19/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/15/2010date Of Correction: 12/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/25/2012date Of Correction: 05/21/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.9-28 |
9.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.1 % |
2.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.1 % |
9.2 % |
| Percent of long-stay residents who lose too much weight |
| 14.5 % |
2.6 / 3 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
61.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
9.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.8 % |
11.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.6 % |
15.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.8:1 |
15.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.5 % |
98.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.7 % |
98.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.3 % |
6.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.4 % |
5.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 13.4 % |
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 58.4 % |
56.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
8.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.4 % |
10.3:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
15 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
0.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
15.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.9 % |
97.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.1 % |
98.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14.8 % |
16.2 % |