MERRIMACK VALLEY HEALTH CENTER

Nursing Home Inspector

22 MAPLE STREET
AMESBURY, MA 01913
Essex County
Phone: 978-388-4682
Provider Number: 225318
Last Inspection: 10/27/2016

About the Nursing Home

Number of Beds: 130
Number of Residents: 95
Beds Available: 35
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

 

4

Facility
14

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2016
4

2015
27

2014

Medicare Ratings

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

 

Details by Inspection Date

10/27/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 11/16/2016
 

11/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 12/10/2015
 

11/4/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 12/18/2014
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 12/18/2014
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 12/18/2014
 
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 12/18/2014
 
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 12/18/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/18/2014
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/18/2014
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 12/18/2014
 

Complaint Investigation Deficiencies

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

2/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 3/22/2017
 

6/18/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 7/9/2015
 

5/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 6/26/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 6/26/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 6/26/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 95 93.73 96.79
Registered Nurses 0.46 0.85 0.89
Licensed Practical / Vocational Nurses 0.94 0.91 0.84
Certified Nursing Assistants 1.86 2.24 2.30
Total Staff Hours 3.25 4.01 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 7 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 66 90 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 94 95
of long-stay residents experiencing one or more falls with major injury 7 3 3
of long-stay residents who have depressive symptoms 2 2 2
of long-stay residents who lose too much weight 3 7 5
of long-stay residents who received an antianxiety or hypnotic medication 27 20 20
of long-stay residents who received an antipsychotic medication 15 18 18
of long-stay residents who self-report moderate to severe pain 5 4 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 26 20 18
of long-stay residents whose need for help with daily activities has increased 15 15 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 3 4 3
of low risk long-stay residents who lose control of their bowels or bladder 66 59 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 48 79 79
of short-stay residents who had an outpatient emergency department visit 17 10 11
of short-stay residents who made improvements in function 68 62 60
of short-stay residents who newly received an antipsychotic medication 6 2 1
of short-stay residents who self-report moderate to severe pain 20 14 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72 82 82
of short-stay residents who were rehospitalized after a nursing home admission 26 22 22
of short-stay residents who were successfully discharged to the community 57 58 56
of short-stay residents with pressure ulcers that are new or worsened 0 0 0