OUR ISLAND HOME

Nursing Home Inspector

EAST CREEK ROAD
NANTUCKET, MA 02554
Nantucket County
Phone: 508-228-0462
Provider Number: 225772
Last Inspection: 09/27/2016

About the Nursing Home

Number of Beds: 45
Number of Residents: 42
Beds Available: 3
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Government - City/county
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

 

21

Facility
21

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

21

2016
0

2015
21

2014

Medicare Ratings

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

 

Details by Inspection Date

9/27/2016 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. Isolated : Minimal 3 10/28/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 10/28/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/28/2016
 
Failed To: Completely assess the resident at least every twelve months. Pattern : Potential 3 10/28/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/28/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 10/28/2016
 

4/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 6/9/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/9/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/9/2014
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Potential 4 6/9/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/9/2014
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 6/9/2014
 

Complaint Investigation Deficiencies

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

11/10/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/2/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 42 42.00 96.79
Registered Nurses 0.91 0.91 0.89
Licensed Practical / Vocational Nurses 0.47 0.47 0.84
Certified Nursing Assistants 3.07 3.07 2.30
Total Staff Hours 4.46 4.46 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 2 2 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 98 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 95
of long-stay residents experiencing one or more falls with major injury 4 4 3
of long-stay residents who have depressive symptoms 3 3 2
of long-stay residents who lose too much weight 6 6 5
of long-stay residents who received an antianxiety or hypnotic medication 23 23 20
of long-stay residents who received an antipsychotic medication 29 29 18
of long-stay residents who self-report moderate to severe pain 10 10 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 7 7 18
of long-stay residents whose need for help with daily activities has increased 14 14 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 1 1 3
of low risk long-stay residents who lose control of their bowels or bladder 53 53 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 60 60 79
of short-stay residents who newly received an antipsychotic medication 0 Not Available   11
of short-stay residents who self-report moderate to severe pain 38 Not Available   60
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80 0 1
of short-stay residents with pressure ulcers that are new or worsened 2 38 14