ELLIS NURSING HOME (THE)

Nursing Home Inspector

135 ELLIS AVENUE
NORWOOD, MA 02062
Norfolk County
Phone: 781-762-6880
Provider Number: 225211
Last Inspection: 04/04/2017

About the Nursing Home

Number of Beds: 191
Number of Residents: 154
Beds Available: 37
Percent Occupancy: 81%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
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

 

21

Facility
20

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

21

2017
14

2015
3

2014

Medicare Ratings

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

 

Details by Inspection Date

4/4/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 5/19/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 5/19/2017
 
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 5/19/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 5/19/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/19/2017
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 5/19/2017
 

12/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Pattern : Minimal 4 1/31/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/31/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/31/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 1/31/2016
 

9/25/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 10/31/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 154 95.41 96.79
Registered Nurses 0.77 1.00 0.89
Licensed Practical / Vocational Nurses 0.94 0.70 0.84
Certified Nursing Assistants 2.78 2.41 2.30
Total Staff Hours 4.49 4.11 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 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 90 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 95 95
of long-stay residents experiencing one or more falls with major injury 4 4 3
of long-stay residents who have depressive symptoms 0 2 2
of long-stay residents who lose too much weight 5 5 5
of long-stay residents who received an antianxiety or hypnotic medication 18 17 20
of long-stay residents who received an antipsychotic medication 7 17 18
of long-stay residents who self-report moderate to severe pain 2 3 4
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 18 19 18
of long-stay residents whose need for help with daily activities has increased 15 16 14
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 10 3 3
of low risk long-stay residents who lose control of their bowels or bladder 49 53 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 86 74 79
of short-stay residents who had an outpatient emergency department visit 10 11 11
of short-stay residents who made improvements in function 45 60 60
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 12 13 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 81 82
of short-stay residents who were rehospitalized after a nursing home admission 16 24 22
of short-stay residents who were successfully discharged to the community 65 55 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 0