| General |
| City |
| W Concord |
West Yarmouth |
| State attribute explanation |
| Ma |
Ma |
| Street |
| Deaconess Road |
579 Buck Island Road |
| Zip Code |
| 1742 |
2,673 |
| Phone |
| 9,783,695,151 |
5,089,577,007 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
| Number of Certified Beds |
| 108 |
72 |
|
Total Number of Residents |
| 37 |
64 |
|
Percent of Occupied Beds |
| 34 % |
89 % |
| Health Survey Date |
| 7/21/2011 |
4/6/2012 |
| Fire Survey Date |
| 8/18/2011 |
4/6/2012 |
| 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 |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
Yes |
| 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 |
|
| Staff Information |
| Number of Residents |
| 37 |
64 |
| Number of RN Hours Per Resident Per Day |
| 1.18 |
1.57 |
| 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 |
2.17 |
| Number of CNA Hours Per Resident Per Day |
| 0.26 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.26 |
0.11 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 10/06/2009date Of Correction: 11/26/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.2 % |
26.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
4.8 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
19 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
14.3 % |
| 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 % |
14.9-28 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.8 % |
99 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.9 % |
93 % |
| 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 % |
4.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.5 % |
21.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.7 % |
2.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
13.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
52.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
0.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.4 % |
11.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
20.4 % |
| 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 % |
5.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
12.4-2413.6-24 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.1 % |
99 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.7 % |
94.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20 % |
8.7 % |