GOLDEN LIVING CENTER-DEDHAM (DEDHAM, MA) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.660
State:	0.845

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.790
Massachusetts:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.460
State:	1.661

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.100

Number Therapy Hours Per Resident Per Day

Here:	0.030
Massachusetts:	0.101

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	18.4%
State:	13.3%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	12.8%
State:	7.7%

Percent of long-stay high-risk residents with pressure ulcers

Here:	7.9%
State:	5.6%

Percent of long-stay residents who lose too much weight

Here:	4.5%
Massachusetts:	6.5%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	63.6%
Massachusetts:	49.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	0.9%
Massachusetts:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	3.3%
Massachusetts:	7.0%

Percent of long-stay residents who were physically restrained

Here:	1.1%
State:	2.4%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	4.2%
State:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	97.9%
Massachusetts:	96.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	90.5%
State:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	23.0%
State:	21.6%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	2.9%
Massachusetts:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	47.1%
Massachusetts:	90.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	41.9%
State:	87.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	4.7%
Massachusetts:	2.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.4%
Massachusetts:	25.2%

Complaint Deficiency

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Many
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Many
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few

GOLDEN LIVING CENTER-DEDHAM - DEDHAM, MA

Staff Information

Quality Measures

Complaint Deficiency

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