HALLMARK CARE AND REHABILITATION CENTER LLC

Nursing Home Inspector

1123 ROCKDALE AVENUE
NEW BEDFORD, MA 02740
Bristol County
Phone: 508-997-7448
Provider Number: 225465
Last Inspection: 07/25/2016

About the Nursing Home

Number of Beds: 107
Number of Residents: 77
Beds Available: 30
Percent Occupancy: 72%
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

 

53

Facility
22

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

53

2016
6

2015
15

2014

Medicare Ratings

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

 

Details by Inspection Date

7/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/8/2016
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/8/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 9/8/2016
 
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 9/8/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/8/2016
 
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 9/8/2016
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 9/8/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 9/8/2016
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 9/8/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/8/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/8/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 9/8/2016
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 9/8/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Isolated : Minimal 3 9/8/2016
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 9/8/2016
 
Failed To: Try to resolve each resident's complaints quickly. Pattern : Minimal 4 9/8/2016
 

4/9/2015 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 5/24/2015
 
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 5/24/2015
 

4/23/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 6/7/2014
 
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 6/7/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/7/2014
 
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 6/7/2014
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/7/2014
 

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 care for each resident in a way that maintains or improves their quality of life. Isolated : Actual 4 3/25/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 77 104.26 96.79
Registered Nurses 0.89 0.68 0.89
Licensed Practical / Vocational Nurses 0.92 0.83 0.84
Certified Nursing Assistants 2.35 2.31 2.30
Total Staff Hours 4.16 3.82 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 13 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 30 92 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77 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 6 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 51 22 20
of long-stay residents who received an antipsychotic medication 32 15 18
of long-stay residents who self-report moderate to severe pain 9 5 4
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 19 19 18
of long-stay residents whose need for help with daily activities has increased 12 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 4 4 3
of low risk long-stay residents who lose control of their bowels or bladder 20 44 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 30 81 79
of short-stay residents who had an outpatient emergency department visit 21 13 11
of short-stay residents who made improvements in function 68 62 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 22 16 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 53 84 82
of short-stay residents who were rehospitalized after a nursing home admission 42 24 22
of short-stay residents who were successfully discharged to the community 30 51 56
of short-stay residents with pressure ulcers that are new or worsened 3 1 0