| General |
| City |
| Marlborough |
Canton |
| State attribute explanation |
| Ma |
Ma |
| Street |
| 121 Northboro Road |
601 Sherman Street |
| Zip Code |
| 1752 |
2,021 |
| Phone |
| 5,084,854,040 |
7,818,287,450 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 196 |
154 |
|
Total Number of Residents |
| 179 |
126 |
|
Percent of Occupied Beds |
| 91 % |
82 % |
| Health Survey Date |
| 4/5/2012 |
4/11/2011 |
| Fire Survey Date |
| 5/8/2012 |
4/13/2011 |
| 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? |
| No |
No |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
2 |
|
| Staff Information |
| Number of Residents |
| 179 |
133 |
| Number of RN Hours Per Resident Per Day |
| 0.51 |
0.51 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.51 |
1.44 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.1 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 01/05/2012date Of Correction: 03/09/2012 |
|
| 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: 03/05/2012date Of Correction: 04/30/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 08/31/2011date Of Correction: 10/10/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37.9 % |
16 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
4.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.3 % |
2.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9 % |
8.4 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
5.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 49.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.3 % |
6.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
13.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.8 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
5.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.6 % |
26.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
96.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.4 % |
92.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.6 % |
4.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37.2 % |
17.9 (64.2) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.6 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.1 % |
3.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.9 / 9.9 |
6.6 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
5.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
30.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.7:1 |
12.8:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
7.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
5.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.1 % |
22.7 (72.9) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.3 % |
91.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.7 % |
87.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.6:1 |
2.6 / 3 |