VERO HEALTH & REHAB OF WEST ROXBURY

Nursing Home Inspector

5060 WASHINGTON STREET
BOSTON, MA 02132
Suffolk County
Phone: 617-323-5440
Provider Number: 225499
Last Inspection: 01/12/2017

About the Nursing Home

Number of Beds: 76
Number of Residents: 57
Beds Available: 19
Percent Occupancy: 75%
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

 

6

Facility
11

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
24

2016
0

2014

Medicare Ratings

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

 

Details by Inspection Date

1/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 2/9/2017
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 2/9/2017
 

2/4/2016 Inspection

 
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 : Minimal 3 3/19/2016
 
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 3/19/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/19/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/19/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 3/19/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 3/19/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 3/19/2016
 

Complaint Investigation Deficiencies

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

11/16/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 12/23/2015
 
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 12/23/2015
 
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 12/23/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/23/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 12/23/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/23/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Immediate 5 12/4/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 12/4/2015
 
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated : Immediate 5 12/4/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 12/23/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 12/23/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 57 98.14 96.79
Registered Nurses 0.85 1.14 0.89
Licensed Practical / Vocational Nurses 1.05 0.83 0.84
Certified Nursing Assistants 1.76 2.59 2.30
Total Staff Hours 3.65 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 4 6 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 92 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 95 95
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 1 2 2
of long-stay residents who lose too much weight 3 4 5
of long-stay residents who received an antianxiety or hypnotic medication 28 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 8 4 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 16 18
of long-stay residents whose need for help with daily activities has increased 2 13 14
of long-stay residents with a catheter inserted and left in their bladder 4 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 46 54 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 75 79
of short-stay residents who had an outpatient emergency department visit 17 12 11
of short-stay residents who made improvements in function 69 53 60
of short-stay residents who newly received an antipsychotic medication 2 0 1
of short-stay residents who self-report moderate to severe pain 20 12 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 79 82
of short-stay residents who were rehospitalized after a nursing home admission 40 25 22
of short-stay residents with pressure ulcers that are new or worsened 0 56 56