WAKEFIELD CARE AND REHABILITATION CENTER (WAKEFIELD, MA) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	12.9%
State:	13.3%

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

This Nursing Home:	17.1%
State:	7.7%

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

Here:	11.3%
Massachusetts:	5.6%

Percent of long-stay residents who lose too much weight

Here:	12.2%
Massachusetts:	6.5%

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

Here:	32.0%
Massachusetts:	49.7%

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

This Nursing Home:	1.9%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	7.1%
State:	7.0%

Percent of long-stay residents who have depressive symptoms

Here:	4.4%
Massachusetts:	5.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	4.0%
State:	2.4%

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

This Nursing Home:	5.1%
State:	3.0%

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

Here:	99.0%
State:	96.5%

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

Here:	98.0%
Massachusetts:	96.8%

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

This Nursing Home:	30.6%
Massachusetts:	21.6%

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

This Nursing Home:	86.4%
State:	90.2%

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

This Nursing Home:	83.2%
Massachusetts:	87.7%

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

Here:	6.7%
Massachusetts:	2.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	41.8%
State:	25.2%

Complaint Deficiency

Exit stairways and towers that are smoke proof
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- 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: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- 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: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly constructed piped-in oxygen systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper fire barriers, ventilation and signs for the transport of oxygen
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- 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
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.860
State:	0.845

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

Here:	0.560
Massachusetts:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.420
State:	1.661

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
Massachusetts:	0.100

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.050
State:	0.101

WAKEFIELD CARE AND REHABILITATION CENTER - WAKEFIELD, MA

Quality Measures

Complaint Deficiency

Staff Information

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