ST JOSEPH REHAB & NURSING CARE CENTER

Nursing Home Inspector

321 CENTRE STREET
DORCHESTER, MA 02122
Suffolk County
Phone: 617-825-6320
Provider Number: 225493
Last Inspection: 10/31/2016

About the Nursing Home

Number of Beds: 123
Number of Residents: 118
Beds Available: 5
Percent Occupancy: 96%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Partnership
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

 

13

Facility
11

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

13

2016
0

2015
0

2014

Medicare Ratings

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

 

Details by Inspection Date

10/31/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Potential 3 12/15/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/15/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/15/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/15/2016
 

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 118 98.14 96.79
Registered Nurses 1.21 1.14 0.89
Licensed Practical / Vocational Nurses 1.12 0.83 0.84
Certified Nursing Assistants 2.26 2.59 2.30
Total Staff Hours 4.59 4.56 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 3 6 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 92 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 95 95
of long-stay residents experiencing one or more falls with major injury 1 2 3
of long-stay residents who have depressive symptoms 0 2 2
of long-stay residents who lose too much weight 5 4 5
of long-stay residents who received an antianxiety or hypnotic medication 15 18 20
of long-stay residents who received an antipsychotic medication 12 15 18
of long-stay residents who self-report moderate to severe pain 0 4 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 16 18
of long-stay residents whose need for help with daily activities has increased 19 13 14
of long-stay residents with a catheter inserted and left in their bladder 1 2 1
of long-stay residents with a urinary tract infection 2 3 3
of low risk long-stay residents who lose control of their bowels or bladder 54 54 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 84 75 79
of short-stay residents who had an outpatient emergency department visit 10 12 11
of short-stay residents who made improvements in function 33 53 60
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 6 12 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 79 82
of short-stay residents who were rehospitalized after a nursing home admission 25 25 22
of short-stay residents who were successfully discharged to the community 57 56 56
of short-stay residents with pressure ulcers that are new or worsened 0 1 0