General Information: LINDA MANOR EXTENDED CARE FACILITY
Nursing home name LINDA MANOR EXTENDED CARE FACILITY
Address349 HAYDENVILLE ROAD
LEEDS, MA 01053
Phone number (413) 586-7700
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils BOTH
Certified number of beds 123
Total number of residents 120
Perc of occupied beds 98
Sprinkler status Yes
Last health survey date 07/18/2012
Fire survey date: 07/18/2012
Ratings Summary: LINDA MANOR EXTENDED CARE FACILITY
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: LINDA MANOR EXTENDED CARE FACILITY
National AverageLINDA MANOR EXTENDED CARE FACILITY
Overall staff rating Not Available. 4
4
Registered Nurses only rating Not Available 4
4
Total Number of Residents 88.1 120.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.76 hours
Registered Nurses Hours per Residents per Day 29.0 hours .97 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .78 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .97 hours
Health Inpections: LINDA MANOR EXTENDED CARE FACILITY
Inspection Results: 06/22/2011
CorrectedCategoryDeficiencySeverity
08/06/2011Environmental DeficienciesProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. E
08/06/2011Quality Care DeficienciesProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
08/06/2011Resident Assessment DeficienciesReview or revise the resident's care plan after any major change in physical or mental health. D
08/06/2011Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
Inspection Results: 07/10/2010
CorrectedCategoryDeficiencySeverity
08/24/2010Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
08/24/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. E
08/24/2010Resident Rights DeficienciesLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D
08/24/2010Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights. D

Fire Safety Inpections: LINDA MANOR EXTENDED CARE FACILITY
Inspection Results: 07/29/2011
CorrectedCategoryDeficiencySeverity
08/01/2011Medical Gases and Anesthetizing Areas DeficienciesProper fire barriers, ventilation and signs for the transfilling of oxygen. C
Inspection Results: 08/10/2010
CorrectedCategoryDeficiencySeverity
09/09/2010Medical Gases and Anesthetizing Areas DeficienciesProper fire barriers, ventilation and signs for the transfilling of oxygen. D
09/09/2010Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C

Resident Complaints: LINDA MANOR EXTENDED CARE FACILITY
Date Complaint Substantiated: 02/28/2013
CorrectedCategoryDeficiencySeverity
04/19/2013Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 10/11/2011
CorrectedCategoryDeficiencySeverity
12/03/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
12/03/2011Administration DeficienciesKeep accurate D
12/03/2011Resident Rights DeficienciesProvide care for each resident in a way that maintains or improves their quality of life. D
Date Complaint Substantiated: 11/24/2010
CorrectedCategoryDeficiencySeverity
01/26/2011Administration Deficiencies1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe G
01/27/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G

Quality Measures: LINDA MANOR EXTENDED CARE FACILITY
Quality MeasuresNational AverageLINDA MANOR EXTENDED CARE FACILITY
Overall quality rating Not Available 4
4
Long-Stay Residents
Percent of long-stay residents with a urinary tract infection. 16% 3.7999999999999998%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 53.299999999999997%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 1.3999999999999999%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 96.5%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 15.4%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 99.700000000000003%
Percent of long-stay residents who have depressive symptoms. 16% 6.0999999999999996%
Percent of long-stay residents who received an antipsychotic medication. 31% 33.100000000000001%
Percent of long-stay high-risk residents with pressure ulcers. 19% 4.2999999999999998%
Percent of long-stay residents who were physically restrained. 11% 0.29999999999999999%
Percent of long-stay residents who lose too much weight. 16% 2.5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 3%
Percent of long-stay residents who self-report moderate to severe pain. 22% 19.100000000000001%
Short-Stay Residents
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 95.5%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 95.900000000000006%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 0.69999999999999996%
Percent of short-stay residents who self-report moderate to severe pain. 36% 24.699999999999999%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.5%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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