| General |
| City |
| W Concord |
Great Barrington |
| State attribute explanation |
| Ma |
Ma |
| Street |
| Deaconess Road |
148 Maple Avenue |
| Zip Code |
| 1742 |
1230 |
| Phone |
| 9,783,695,151 |
4,135,283,320 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 108 |
88 |
|
Total Number of Residents |
| 37 |
82 |
|
Percent of Occupied Beds |
| 34 % |
93 % |
| Health Survey Date |
| 7/21/2011 |
1/24/2012 |
| Fire Survey Date |
| 8/18/2011 |
2/22/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 37 |
82 |
| Number of RN Hours Per Resident Per Day |
| 1.18 |
1 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.54 |
0.22 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
1.22 |
| Number of CNA Hours Per Resident Per Day |
| 0.26 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.26 |
0.07 |
| 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: 06/15/2011date Of Correction: 07/31/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 12/22/2010date Of Correction: 02/05/2011 |
| 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: 02/29/2012date Of Correction: 05/05/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 11/09/2011date Of Correction: 12/30/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.2 % |
23.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
12.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
4.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
7 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
1.4 % |
| 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 |
| 18.4 % |
26.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.8 % |
70.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.9 % |
50.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
5.6:1 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.5 % |
28.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
4.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.7 % |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
2.20 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
31.4 (88.5) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
5.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.4 % |
3.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
0.9 % |
| 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 |
| 2.8 % |
4.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
42.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.1 % |
75.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.7 % |
60 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20 % |
3.4 % |