General |
City |
W Concord |
Westfield |
State attribute explanation |
Ma |
Ma |
Street |
Deaconess Road |
37 Feeding Hills Road |
Zip Code |
1742 |
1085 |
Phone |
9,783,695,151 |
4,135,682,341 |
Overall Star Rating |
3 |
4 |
Health Inspections Star Rating |
2 |
2 |
Nurse Staffing Star Rating |
4 |
4 |
Quality Measures Star Rating |
4 |
5 |
RN Only Star Rating |
5 |
5 |
Number of Certified Beds |
108 |
80 |
Total Number of Residents |
37 |
58 |
Percent of Occupied Beds |
34 % |
73 % |
Health Survey Date |
7/21/2011 |
8/29/2011 |
Fire Survey Date |
8/18/2011 |
9/21/2011 |
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 |
75.2 |
Total Enforcement Actions Count |
75.2 |
75.2 |
# of deficiencies |
|
2 |
|
Staff Information |
Number of Residents |
37 |
58 |
Number of RN Hours Per Resident Per Day |
1.18 |
1.15 |
Number of LPN/LVN Hours Per Resident Per Day |
0.54 |
0.61 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.72 |
1.75 |
Number of CNA Hours Per Resident Per Day |
0.26 |
0.19 |
Number Therapy Hours Per Resident Per Day |
0.26 |
0.19 |
Resident Rights Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.survey Date: 11/01/2010date Of Correction: 12/14/2010 |
Administration Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.survey Date: 12/21/2010date Of Correction: 02/11/2011 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
24.2 % |
23.2 % |
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % |
75.2 % |
Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
Percent of long-stay high-risk residents with pressure ulcers |
|
75.2 % |
Percent of long-stay residents who lose too much weight |
75.2 % |
5.4 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
75.2 % |
6.7 % |
Percent of long-stay residents with a urinary tract infection |
6.1 % |
1.8 % |
Percent of long-stay residents who have depressive symptoms |
3 % |
7 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
1.8 % |
Percent of short-stay residents who self-report moderate to severe pain |
18.4 % |
75.2 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
87.8 % |
98 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
82.9 % |
90.2 % |
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 % |
3.5 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
24.5 % |
23.7 (74.7) |
Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % |
75.2 % |
Percent of long-stay residents who self-report moderate to severe pain |
1.7 % |
1 % |
Percent of long-stay high-risk residents with pressure ulcers |
6.5 % |
0.9 % |
Percent of long-stay residents who lose too much weight |
4.8 % |
5 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
36.4 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
75.2 % |
7.9:1 |
Percent of long-stay residents with a urinary tract infection |
11.4 % |
3.7 % |
Percent of long-stay residents who have depressive symptoms |
5.7 % |
7.5 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
1.9 % |
Percent of long-stay residents experiencing one or more falls with major injury |
2.8 % |
3.1 % |
Percent of short-stay residents who self-report moderate to severe pain |
24.5 % |
2.1 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
94.1 % |
94.9 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
82.7 % |
79.9 % |
Percent of short-stay residents who newly received an antipsychotic medication |
20 % |
19.2 % |