NEURO-REHAB CENTER-WORCESTER

The information listed below provides an in-depth look into the type and quality of care offered at Neuro-Rehab Center-Worcester. 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

NEURO-REHAB CENTER-WORCESTER
59 ACTON STREET
WORCESTER, MA 01604
(508) 791-3147

Nursing Home Ratings

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

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 150
  • Certified Beds: 173

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Millbury | Shrewsbury | Auburn

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 "Very 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 Neuro-Rehab Center-Worcester. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.5%
ADL Index Range: 0-55.4%
Total Percent:9.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1620.7%
ADL Index Range: 6-1013.1%
Total Percent:33.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-510.4%
Total Percent:10.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1021.6%
Total Percent:21.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
10.4%
ADL Index Range: 6-10
- No Signs of depression
14.0%
Total Percent:24.3%
 

Rating Details For Neuro-Rehab Center-Worcester

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) Hours59 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 41 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 49 Minutes1 Hour and 33 Minutes
Total Nurse Hours4 Hours and 30 Minutes3 Hours and 46 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 Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%12%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%63%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season82%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination62%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain26%18%
Percent of Short-Stay Residents Who Have Pressure Sores-12%

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 02/03/2011.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/20/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/20/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/20/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/20/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/20/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 12/14/2009
  • Correction Date: 01/28/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)12/14/2009$975

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Neuro-Rehab Center-Worcester, 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: 06/30/2010
  • Correction Date: 06/30/2010

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 05/27/2009
  • Correction Date: 06/29/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/21/2010
  • Correction Date: 09/29/2010

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 Neuro-Rehab Center-Worcester 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 02/03/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/23/2009
  • Correction Date: 02/05/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/23/2009
  • Correction Date: 01/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/23/2009
  • Correction Date: 01/13/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/23/2009
  • Correction Date: 01/27/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/23/2009
  • Correction Date: 01/19/2010
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011