RIVERWOODS AT EXETER

The information listed below provides an in-depth look into the type and quality of care offered at Riverwoods at Exeter. 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

RIVERWOODS AT EXETER
7 RIVERWOODS DRIVE
EXETER, NH 03833
(603) 658-1521

Nursing Home Ratings

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

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 65
  • Certified Beds: 78

This Facility Accepts

  • Medicare

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Brentwood | Fremont | Hampton

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 "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 Riverwoods at Exeter. 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-105.7%
Total Percent:5.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-525.9%
Total Percent:25.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.6%
ADL Index Range: 0-542.2%
Total Percent:52.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-58.9%
Total Percent:8.9%
 

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
- Isolation for active infectious disease
5.0%
Total Percent:5.0%
 

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
1.8%
Total Percent:1.8%
 

Rating Details For Riverwoods at Exeter

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) Hours1 Hour and 21 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 43 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours2 Hours and 12 Minutes1 Hour and 38 Minutes
Total Nurse Hours5 Hours and 56 Minutes3 Hours and 60 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 New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Hampshire Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%51%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious23%18%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%15%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%17%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of Long-Stay Residents Who Lose Too Much Weight11%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season76%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination77%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%24%
Percent of Short-Stay Residents Who Have Pressure Sores2%11%
Percent of Short-Stay Residents Who Have Delirium1%2%

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 04/28/2011.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/10/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/15/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/20/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/10/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/28/2011
  • Correction Date: 06/10/2011

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: 04/08/2010
  • Correction Date: 05/20/2010
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: 04/08/2010
  • Correction Date: 05/20/2010

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 Riverwoods at Exeter 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 04/27/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011
Properly Protected Cooking Facilities.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/18/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/01/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/28/2010
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011