WEBSTER PARK REHABILITATION AND HEALTHCARE CENTER

Nursing Home Inspector

56 WEBSTER STREET
ROCKLAND, MA 02370
Plymouth County
Phone: 781-871-0555
Provider Number: 225184
Last Inspection: 11/15/2016

About the Nursing Home

Number of Beds: 110
Number of Residents: 80
Beds Available: 30
Percent Occupancy: 73%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

34

Facility
17

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

34

2016
0

2015
14

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

11/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/30/2016
 
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 12/30/2016
 
Failed To: Tell the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Isolated : Minimal 3 12/30/2016
 
Failed To: 1) 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. Isolated : Minimal 3 12/30/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/30/2016
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 12/30/2016
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 12/30/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/30/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 12/30/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 12/30/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/30/2016
 

10/27/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/10/2014
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 12/10/2014
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 12/10/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/10/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

1/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 3/1/2015
 
Failed To: Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Isolated : Minimal 3 3/1/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 80 99.63 96.79
Registered Nurses 0.92 0.94 0.89
Licensed Practical / Vocational Nurses 0.68 0.81 0.84
Certified Nursing Assistants 1.94 2.21 2.30
Total Staff Hours 3.54 3.96 4.03

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MA State Avg%
of high risk long-stay residents with pressure ulcers 4 5 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 94 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 94 95
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 0 1 2
of long-stay residents who lose too much weight 8 5 5
of long-stay residents who received an antianxiety or hypnotic medication 18 19 20
of long-stay residents who received an antipsychotic medication 22 15 18
of long-stay residents who self-report moderate to severe pain 1 5 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 29 18 18
of long-stay residents whose need for help with daily activities has increased 26 15 14
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 35 50 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 83 79
of short-stay residents who had an outpatient emergency department visit 12 11 11
of short-stay residents who made improvements in function 59 66 60
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 11 14 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95 86 82
of short-stay residents who were rehospitalized after a nursing home admission 32 23 22
of short-stay residents who were successfully discharged to the community 46 58 56
of short-stay residents with pressure ulcers that are new or worsened 0 0 0