M I NURSING AND RESTORATIVE CENTER (LAWRENCE, MA) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.420
Massachusetts:	0.845

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

This Nursing Home:	1.130
State:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.550
State:	1.661

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.070
Massachusetts:	0.100

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.070
Massachusetts:	0.101

Quality Measures

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

Here:	16.0%
State:	13.3%

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

Here:	0.7%
State:	7.7%

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

Here:	4.2%
State:	5.6%

Percent of long-stay residents who lose too much weight

Here:	5.3%
Massachusetts:	6.5%

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

This Nursing Home:	38.1%
Massachusetts:	49.7%

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

Here:	4.0%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	10.1%
State:	7.0%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.0%
State:	5.2%

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

This Nursing Home:	4.3%
State:	3.0%

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

Here:	98.6%
Massachusetts:	96.5%

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

This Nursing Home:	98.1%
Massachusetts:	96.8%

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

Here:	21.1%
Massachusetts:	21.6%

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

This Nursing Home:	93.2%
State:	90.2%

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

Here:	83.3%
Massachusetts:	87.7%

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

This Nursing Home:	3.4%
Massachusetts:	2.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	18.0%
State:	25.2%

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give the resident's representative the ability to exercise the resident's rights
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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: Some
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Potential for minimal harm
- Scope: Many

M I NURSING AND RESTORATIVE CENTER - LAWRENCE, MA

Staff Information

Quality Measures

Complaint Deficiency

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