| General |
| City |
| W Concord |
Boston |
| State attribute explanation |
| Ma |
Ma |
| Street |
| Deaconess Road |
130 Dorchester Avenue |
| Zip Code |
| 1742 |
2,127 |
| Phone |
| 9,783,695,151 |
6,172,683,333 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 108 |
355 |
|
Total Number of Residents |
| 37 |
254 |
|
Percent of Occupied Beds |
| 34 % |
72 % |
| Health Survey Date |
| 7/21/2011 |
5/25/2011 |
| Fire Survey Date |
| 8/18/2011 |
6/17/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially 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 |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
|
3 |
|
| Staff Information |
| Number of Residents |
| 37 |
253 |
| Number of RN Hours Per Resident Per Day |
| 1.18 |
1.15 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.54 |
0.59 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
1.74 |
| Number of CNA Hours Per Resident Per Day |
| 0.26 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.26 |
0.07 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 3deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 02/02/2010date Of Correction: 03/19/2010 |
| 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: 06/18/2010date Of Correction: 06/18/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 02/02/2010date Of Correction: 03/19/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.2 % |
23.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
14.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
9.7 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
5.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
2.1 % |
| 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 % |
20.2 (68.4) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.8 % |
91.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.9 % |
91.2 % |
| 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 % |
3.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.5 % |
24.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.7 % |
14.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
6.1 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
7.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
48.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.4 % |
5.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
2.20 % |
| 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 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
28 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.1 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.7 % |
90.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20 % |
2.6 / 3 |