HIGHGATE MANOR CENTER FOR HEALTH & REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Highgate Manor Center for Health & Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HIGHGATE MANOR CENTER FOR HEALTH & REHABILITATION
10 CAREMATRIX DRIVE
DEDHAM, MA 02026
(781) 461-9663

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 108
  • Certified Beds: 142

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Norwood | Westwood | Milton

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Highgate Manor Center for Health & Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-169.3%
Total Percent:9.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-165.7%
Total Percent:5.7%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.1%
Total Percent:1.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1643.2%
ADL Index Range: 6-1025.0%
ADL Index Range: 0-56.4%
Total Percent:74.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-100.5%
ADL Index Range: 0-51.0%
Total Percent:5.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
Total Percent:0.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.6%
Total Percent:0.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.2%
Total Percent:0.2%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.5%
Total Percent:2.5%
 

Rating Details For Highgate Manor Center for Health & Rehabilitation

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours47 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 45 Minutes1 Hour and 57 Minutes
Total Nurse Hours3 Hours and 50 Minutes4 Hours and 23 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Massachusetts are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMassachusetts Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season79%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination81%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%14%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%63%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season72%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Have Pressure Sores12%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%18%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/21/2008
  • Correction Date: 09/18/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/02/2009
  • Correction Date: 08/16/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Highgate Manor Center for Health & Rehabilitation, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/23/2009
  • Correction Date: 06/02/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/16/2008
  • Correction Date: 11/07/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 09/16/2008
  • Correction Date: 11/07/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/18/2009
  • Correction Date: 08/20/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 08/23/2010
  • Correction Date: 01/01/1900

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Highgate Manor Center for Health & Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/25/2008

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/05/2008
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011