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Victoria Haven Nursing Facility

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About Victoria Haven Nursing Facility

General Information

Legal Business Name137 NICHOLS ST., INC.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1994 (23 years)
Capacity31
Residents25
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Victoria Haven Nursing Facility

Victoria Haven Nursing Facility
was reviewed by Medicare to have a rating of 3 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

August 4, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
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 InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

March 11, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$40,748 fine

June 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.

May 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
BSomePotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Victoria Haven Nursing 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.

3hr 45min
2hr 25min
ReportedExpected
CNA
20min
35min
ReportedExpected
LPN
1hr 20min
1hr 10min
ReportedExpected
RN
5hr 25min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.6%
100.0%
100.0%
100.0%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
-
100.0%
-
-
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
53.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
-
15.0%
-
-
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
-
-
-
-
18.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
-
-
-
-
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
-
-
-
-
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
-
4.8%
-
-
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
-
-
-
-
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
-
-
-
-
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
-
4.8%
-
-
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
-
4.8%
-
-
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
-
3.0%
-
-
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
-
0.0%
-
-
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
-
-
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
83.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
55.3%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
-
-
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened