| General |
| City |
| W Concord |
Springfield |
| State attribute explanation |
| Ma |
Ma |
| Street |
| Deaconess Road |
200 Kendall Street |
| Zip Code |
| 1742 |
1104 |
| Phone |
| 9,783,695,151 |
4,137,374,756 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
4 |
| Number of Certified Beds |
| 108 |
160 |
|
Total Number of Residents |
| 37 |
145 |
|
Percent of Occupied Beds |
| 34 % |
91 % |
| Health Survey Date |
| 7/21/2011 |
4/2/2012 |
| Fire Survey Date |
| 8/18/2011 |
5/21/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
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 |
|
4 |
|
| Staff Information |
| Number of Residents |
| 37 |
145 |
| Number of RN Hours Per Resident Per Day |
| 1.18 |
0.72 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.54 |
0.6 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
1.32 |
| Number of CNA Hours Per Resident Per Day |
| 0.26 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.26 |
0.08 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 02/16/2011date Of Correction: 04/02/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.survey Date: 10/13/2010date Of Correction: 12/10/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/13/2010date Of Correction: 12/10/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 01/27/2012date Of Correction: 03/01/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.2 % |
37.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
6.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.4 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
2.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
52.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
5.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.4 % |
8.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.8 % |
81.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.9 % |
88.6 % |
| 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 |
| 3 % |
1.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.5 % |
37 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.7 % |
8.1 / 8.8 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
4.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
52.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.4 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
2.20 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
2.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
13.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.1 % |
78.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.7 % |
76.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20 % |
3.1 % |