US Nursing Home Finder: NEURO-REHAB CTR-WORCESTER WORCESTER MA

General Information: NEURO-REHAB CTR-WORCESTER
Nursing home name	NEURO-REHAB CTR-WORCESTER
Address	59 ACTON STREET WORCESTER, MA 01604
Phone number	(508) 791-3147
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	173
Total number of residents	162
Perc of occupied beds	94
Sprinkler status	fully sprinklered
Last health survey date	12/14/2009
Fire survey date:	12/23/2009

Ratings Summary: NEURO-REHAB CTR-WORCESTER
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: NEURO-REHAB CTR-WORCESTER
	National Average	NEURO-REHAB CTR-WORCESTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	162
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.65 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.68 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.97 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.68 hours

Health Inpections: NEURO-REHAB CTR-WORCESTER
Inspection Results: 12/14/2009
Corrected	Category	Deficiency	Severity
01/28/2010	Quality Care Deficiencies	Give or get dental care for each resident.	G
01/28/2010	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
01/28/2010	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
01/28/2010	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
01/28/2010	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
01/28/2010	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	G
Inspection Results: 11/12/2008
Corrected	Category	Deficiency	Severity
12/27/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
12/27/2008	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
12/27/2008	Resident Assessment Deficiencies	Make sure that all needed doctor visits are made personally by a doctor, as required.	B
12/27/2008	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	B
12/27/2008	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
12/27/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/27/2008	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	D
12/27/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
12/27/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
12/27/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
12/27/2008	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
12/27/2008	Resident Rights Deficiencies	Give the resident's legal representative the same rights as the resident.	D
12/27/2008	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	E
12/27/2008	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	D
12/27/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Inspection Results: 10/31/2007
Corrected	Category	Deficiency	Severity
12/15/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	E
12/15/2007	Administration Deficiencies	post nurse staffing information.	C
12/15/2007	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	C
12/15/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
12/15/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
12/15/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
12/15/2007	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	E
12/15/2007	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	E

Fire Safety Inpections: NEURO-REHAB CTR-WORCESTER
Inspection Results: 12/23/2009
Corrected	Category	Deficiency	Severity
01/27/2010	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	C
01/15/2010	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
02/05/2010	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	B
01/19/2010	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
01/13/2010	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D

Resident Complaints: NEURO-REHAB CTR-WORCESTER
Date Complaint Substantiated: 05/27/2009
Corrected	Category	Deficiency	Severity
06/29/2009	Mistreatment Deficiencies	1) Hire only people who have 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.	D
Date Complaint Substantiated: 03/19/2008
Corrected	Category	Deficiency	Severity
05/21/2008	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
Date Complaint Substantiated: 01/23/2008
Corrected	Category	Deficiency	Severity
03/31/2008	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	E
Date Complaint Substantiated: 08/09/2007
Corrected	Category	Deficiency	Severity
09/21/2007	Mistreatment Deficiencies	1) Hire only people who have 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.	G
Date Complaint Substantiated: 02/13/2007
Corrected	Category	Deficiency	Severity
04/02/2007	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	G

Quality Measures: NEURO-REHAB CTR-WORCESTER
Quality Measures	National Average	NEURO-REHAB CTR-WORCESTER
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	7%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	64%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	2%
Percent of long-stay residents who were physically restrained	3%	5%
Percent of long-stay residents who are more depressed or anxious	14%	12%
Percent of low-risk long-stay residents who have pressure sores	2%	2%
Percent of long-stay residents who had a urinary tract infection	9%	5%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	2%
Percent of high-risk long-stay residents who have pressure sores	11%	10%
Percent of long-stay residents who lose too much weight	8%	5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	41%
Percent of long-stay residents whose need for help with daily activities has increased	14%	7%
Short-Stay Residents
Percent of short-stay residents who have pressure sores	13%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents given influenza vaccination during the flu season	83%	88%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	57%
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who had moderate to severe pain	19%	23%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: NEURO-REHAB CTR-WORCESTER WORCESTER MA