General Information: TCU-HUBBARD HOSPITAL
Nursing home name TCU-HUBBARD HOSPITAL
Address340 THOMPSON ROAD - 1ST FLOOR
WEBSTER, MA 01570
Phone number (508) 949-8420
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 21
Total number of residents 8
Perc of occupied beds 38
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: TCU-HUBBARD HOSPITAL
Overall rating 5
5
Nursing Home Staffing Not available.
Registered Nurses only Not available.
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: TCU-HUBBARD HOSPITAL
National AverageMassachusetts AverageTCU-HUBBARD HOSPITAL
Overall staff rating NA NA Not available.
Registered Nurses only rating NANA Not available.
Total Number of Residents NA NA 8
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.11 hours Not available hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.74 hours Not available hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.92 hours Not available hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.81 hours Not available hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.37 hours Not available hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours Not available hours
Health Survey: TCU-HUBBARD HOSPITAL
Heath Survey Summary on 2013-12-19
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2013-01-08
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-11-09
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: TCU-HUBBARD HOSPITAL
Inspection Results: 12/19/2013
Corrected Deficiency Scope and Severity
01/31/2014 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
01/31/2014 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
01/31/2014 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/09/2011
Corrected Deficiency Scope and Severity
12/20/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
12/20/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
12/20/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
12/20/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: TCU-HUBBARD HOSPITAL
Fire Safety Survey Summary on 2014-03-19
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-01-08
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-11-30
Total Number of Fire SafetyDeficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey: TCU-HUBBARD HOSPITAL
Fire Safety Survey Results: 03/19/2014
Corrected Deficiency Severity
04/18/2014 Properly maintained smoke detectors. Widespread/Potential for minimal harm
04/30/2014 Properly working alarms on sprinkler valves. Isolated/Minimal harm or potential for actual harm
04/11/2014 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
Fire Safety Survey Results: 11/30/2011
Corrected Deficiency Severity
01/11/2012 Properly maintained smoke detectors. Widespread/Potential for minimal harm
01/11/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
01/11/2012 Properly working alarms on sprinkler valves. Widespread/Potential for minimal harm
01/11/2012 An approved automatic sprinkler system connected to the fire alarm system. Widespread/Potential for minimal harm
01/11/2012 Portable fire extinguishers. Widespread/Potential for minimal harm
01/11/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread/Potential for minimal harm
01/11/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
01/11/2012 A written emergency evacuation plan. Widespread/Potential for minimal harm
01/11/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
01/11/2012 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
01/11/2012 Proper medical gas storage and administration areas. Widespread/Potential for minimal harm
01/11/2012 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm

Resident Complaints: TCU-HUBBARD HOSPITAL
Date Complaint Substantiated: 02/07/2012
CorrectedCategoryDeficiencySeverity
04/17/20121) Hire only people with 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

Quality Measures: TCU-HUBBARD HOSPITAL
Quality Measures National Average Massachusetts Average TCU-HUBBARD HOSPITAL
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 13.7% %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% %
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.0% %
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% %
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.6% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.5% %
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% %
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.3% %
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.6% %
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.0% %
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.7% %
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 96.3% %
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 21.5% %
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.1% 11.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.8% 88.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 84.7% 86.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 1.6%

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