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Charlene Manor Extended Care Facility

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About Charlene Manor Extended Care Facility

General Information

Legal Business NameCharlene Manor Nursing, LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 22, 1988 (28 years)
Capacity123
Residents114
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Charlene Manor Extended Care Facility

Charlene Manor Extended Care Facility
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Massachusetts Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

January 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

January 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$21,938 fine
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth Inspection1) 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.

February 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

January 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

January 8, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,238 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Charlene Manor Extended Care Facility require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 20min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
1hr 5min
1hr 5min
ReportedExpected
RN
4hr 5min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.7%
93.2%
93.2%
96.7%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
91.3%
90.2%
97.8%
94.3%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
47.4%
44.4%
46.5%
52.5%
Q1 2015Q2 2015Q3 2015MA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
21.6%
24.4%
24.1%
19.3%
Q1 2015Q2 2015Q3 2015MA
Received an Antipsychotic Medication
13.0%
14.5%
21.2%
15.0%
Q1 2015Q2 2015Q3 2015MA
Need for Help with ADLs has Increased
-
2.0%
3.9%
5.7%
Q1 2015Q2 2015Q3 2015MA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
4.2%
1.4%
0.0%
6.7%
Q1 2015Q2 2015Q3 2015MA
Lose Too Much Weight
3.0%
2.9%
1.8%
4.8%
Q1 2015Q2 2015Q3 2015MA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.2%
3.5%
Q1 2015Q2 2015Q3 2015MA
Have Depressive Symptoms
3.5%
0.0%
4.4%
4.6%
Q1 2015Q2 2015Q3 2015MA
With a Urinary Tract Infection
2.2%
3.3%
3.3%
3.0%
Q1 2015Q2 2015Q3 2015MA
Experiencing One or More Falls with Major Injury
7.1%
3.5%
1.5%
2.6%
Q1 2015Q2 2015Q3 2015MA
With a Catheter Inserted and Left in Their Bladder
2.2%
2.2%
2.2%
1.2%
Q1 2015Q2 2015Q3 2015MA
Were Physically Restrained

Quality Measures for Short Stay Residents

56.7%
60.4%
65.6%
82.4%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
76.0%
75.8%
76.1%
85.2%
Q1 2015Q2 2015Q3 2015MA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
13.7%
7.4%
11.8%
17.5%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
2.8%
1.0%
1.0%
1.7%
Q1 2015Q2 2015Q3 2015MA
Newly Received an Antipsychotic Medication
0.9%
4.9%
4.9%
1.2%
Q1 2015Q2 2015Q3 2015MA
With Pressure Ulcers That Are New or Worsened