MARLBOROUGH HILLS HEALTHCARE CENTER - MARLBOROUGH, MA

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Addresss:

121 NORTHBORO ROAD
MARLBOROUGH, MA, 01752

Phone (make sure to verify first before calling): (508) 485-4040

Number of Certified Beds: 196
Total Number of Residents: 179
Percent of Occupied Beds: 91%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Other nearby hospitals and nursing homes

CARE ALTERNATIVES OF MASS, LLC (MARLBORO, 1.62 miles)
DIVINE HEALTH LLC (1.03 miles)
FRESENIUS MEDICAL CARE OF MARLBOROUGH (1.59 miles)
MARLBOROUGH HOSPITAL (1.85 miles)
SYNERGY HOME HEALTH CARE, INC (0.27 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.86

Administrative Staff - Part Time: 0.80

Certified Nurse Aides - Full Time: 48.71

Certified Nurse Aides - Part Time: 21.79

Food Service Personnel - Full Time: 12.50

Food Service Personnel - Part Time: 5.64

Licensed Practical/ Vocational Nurses - Full Time: 14.63

Licensed Practical/ Vocational Nurses - Part Time: 12.57

Medical Directors - Under Contract: 0.09

Mental Health Services Personnel - Under Contract: 0.86

Nurses With Administrative Duties - Full Time: 10.29

Registered Nurses - Full Time: 17.37

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 3.43

Activities Professionals - Full Time: 3.57

Activities Professionals - Part Time: 3.00

Dentists - Under Contract: 0.09

Dietitians - Part Time: 0.91

Occupational Therapists - Part Time: 0.14

Pharmacists - Under Contract: 0.23

Physical Therapists - Part Time: 0.51

Persons Not Included In Any Other Categories - Under Contract: 9.36

Podiatrists - Under Contract: 0.06

Housekeeping Personnel - Under Contract: 12.00

Other Physicians - Under Contract: 0.17

Physician Extenders - Under Contract: 0.91

Social Workers - Part Time: 0.46

Occupational Therapists - Full Time: 1.14

Physical Therapists - Full Time: 4.54

Occupational Therapy Assistants - Full Time: 8.66

Occupational Therapy Assistants - Part Time: 1.83

Speech Pathologists - Part Time: 0.51

Physical Therapy Aide - Part Time: 0.57

Occupational Therapy Aides - Part Time: 0.57

Number Of Beds

Total: 196

Total Certified: 196

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Complaint Deficiency

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: 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: Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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
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: Potential for minimal harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many

Quality Measures

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

This Nursing Home:	14.2%
State:	13.3%

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

This Nursing Home:	4.2%
State:	7.7%

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

This Nursing Home:	10.2%
State:	5.6%

Percent of long-stay residents who lose too much weight

Here:	7.5%
Massachusetts:	6.5%

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

This Nursing Home:	47.5%
State:	49.7%

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

This Nursing Home:	3.4%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	12.3%
Massachusetts:	7.0%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.8%
Massachusetts:	5.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.0%
Massachusetts:	2.4%

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

This Nursing Home:	2.0%
State:	3.0%

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

Here:	99.3%
Massachusetts:	96.5%

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

Here:	99.3%
State:	96.8%

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

Here:	17.0%
Massachusetts:	21.6%

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

This Nursing Home:	2.0%
State:	1.6%

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

This Nursing Home:	96.6%
Massachusetts:	90.2%

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

Here:	97.0%
State:	87.7%

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

This Nursing Home:	2.5%
Massachusetts:	2.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	34.9%
State:	25.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.510
Massachusetts:	0.845

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

This Nursing Home:	1.000
Massachusetts:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.510
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

MARLBOROUGH HILLS HEALTHCARE CENTER - MARLBOROUGH, MA

Complaint Deficiency

Quality Measures

Staff Information

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