TRANSITIONAL CARE UNIT-HUBBARD HOSPITAL
Address
340 THOMPSON ROAD - 1ST FLOOR
WEBSTER, MA 01570
(508) 949-8420
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
48%Number of Residents and Certified Beds
- Residents: 10
- Certified Beds: 21
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
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 Transitional Care Unit-Hubbard Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
- 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: 2-10 | 3.2% |
| Total Percent: | 3.2% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 16.1% |
| ADL Index Range: 6-10 | 50.9% |
| ADL Index Range: 0-5 | 2.2% |
| Total Percent: | 69.2% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.3% |
| ADL Index Range: 6-10 | 4.7% |
| ADL Index Range: 0-5 | 2.2% |
| Total Percent: | 15.1% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 3.7% |
| ADL Index Range: 6-10 | 1.2% |
| Total Percent: | 4.8% |
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 | 1.0% |
| ADL Index Range: 6-10 - Signs of depression | 0.5% |
| Total Percent: | 1.5% |
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: 15-16 - No Signs of depression | 1.7% |
| ADL Index Range: 6-10 - No Signs of depression | 0.7% |
| ADL Index Range: 0-1 - No Signs of depression | 2.0% |
| Total Percent: | 4.3% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 2-5 - Less restorative nursing | 0.5% |
| ADL Index Range: 0-1 - Less restorative nursing | 1.3% |
| Total Percent: | 1.8% |
Rating Details For Transitional Care Unit-Hubbard Hospital
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 50 Minutes | |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 53 Minutes | |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 30 Minutes | |
| Total Licensed Nurse Hours | 2 Hours and 44 Minutes | |
| Total Nurse Hours | 5 Hours and 14 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 Facility | Massachusetts Average |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 89% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 85% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 32% | 18% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 9% | 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 10/25/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  |  |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
|  | |
Give Professional Services That Meet a Professional Standard of Quality.
|  |  |
Resident Assessment
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Resident Rights
Tell the Resident Completely About His or Her Health Status.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Let Residents Give Themselves Their Drugs if They Are Able.
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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 Transitional Care Unit-Hubbard Hospital 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 10/25/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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