SEASHORE POINT AND WELLNESS REHABILITATION

Nursing Home Inspector

100 ALDEN STREET
PROVINCETOWN, MA 02657
Barnstable County
Phone: 508-487-7090
Provider Number: 225637
Last Inspection: 01/17/2017

About the Nursing Home

Number of Beds: 41
Number of Residents: 41
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Other
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

 

9

Facility
17

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
12

2015
6

2014

Medicare Ratings

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

 

Details by Inspection Date

1/17/2017 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 3/5/2017
 
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 3/5/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/5/2017
 

9/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 11/18/2015
 
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 11/18/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 11/18/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 11/18/2015
 

9/11/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 10/8/2014
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 10/8/2014
 

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 41 98.00 96.79
Registered Nurses 0.74 0.93 0.89
Licensed Practical / Vocational Nurses 0.74 0.72 0.84
Certified Nursing Assistants 1.77 2.08 2.30
Total Staff Hours 3.25 3.73 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 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 96 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 95 95
of long-stay residents experiencing one or more falls with major injury 10 4 3
of long-stay residents who have depressive symptoms 0 2 2
of long-stay residents who lose too much weight 6 4 5
of long-stay residents who received an antianxiety or hypnotic medication 6 19 20
of long-stay residents who received an antipsychotic medication 16 15 18
of long-stay residents who self-report moderate to severe pain 3 5 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 17 18
of long-stay residents whose need for help with daily activities has increased 25 16 14
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 6 3 3
of low risk long-stay residents who lose control of their bowels or bladder 54 58 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 74 88 79
of short-stay residents who had an outpatient emergency department visit 14 12 11
of short-stay residents who made improvements in function 51 65 60
of short-stay residents who newly received an antipsychotic medication 1 0 1
of short-stay residents who self-report moderate to severe pain 19 17 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 85 82
of short-stay residents who were rehospitalized after a nursing home admission 17 19 22
of short-stay residents who were successfully discharged to the community 65 61 56
of short-stay residents with pressure ulcers that are new or worsened 2 0 0