| General |
| City |
| Braintree |
Cohasset |
| State attribute explanation |
| Ma |
Ma |
| Street |
| 95 Commercial Street |
1 Chief Justice Cushing Highway |
| Zip Code |
| 2,184 |
2,025 |
| Phone |
| 7,818,483,678 |
7,813,839,060 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
| Number of Certified Beds |
| 204-957-3467 |
80 |
|
Total Number of Residents |
| 168 |
57 |
|
Percent of Occupied Beds |
| 82 % |
71 % |
| Health Survey Date |
| 5/22/2012 |
1/5/2012 |
| Fire Survey Date |
| 5/22/2012 |
1/30/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
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 |
| 168 |
57 |
| Number of RN Hours Per Resident Per Day |
| 0.94 |
0.86 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1 |
0.45 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.93 |
1.31 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.04 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.survey Date: 06/08/2011date Of Correction: 08/29/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 03/28/2011date Of Correction: 05/02/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 03/09/2011date Of Correction: 05/09/2011 |
|
| 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: 04/22/2010date Of Correction: 05/28/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.4 % |
28.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.4 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.1 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 3.3 % |
10.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 71.4 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
2.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.6 / 3 |
2 % |
| Percent of long-stay residents who were physically restrained |
| 1.3 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.9 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.7 % |
90.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
83 % |
| 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 |
| 5.2 % |
4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.7 % |
26.6 (79.9) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.6:1 |
7.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.4 % |
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.2 % |
6.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 67 % |
63.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
4.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
3.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.20 % |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 2 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
27.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.5 % |
87 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.4 % |
81.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.3 % |
10.8 % |