MILFORD CARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Milford Care and Rehabilitation Center. 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

MILFORD CARE AND REHABILITATION CENTER
10 VETERANS MEMORIAL DRIVE
MILFORD, MA 01757
(508) 473-6414

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 128
  • Certified Beds: 135

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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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 Milford Care and Rehabilitation Center. 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: 11-168.7%
ADL Index Range: 6-1026.0%
ADL Index Range: 0-520.7%
Total Percent:55.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.6%
ADL Index Range: 6-109.0%
ADL Index Range: 0-511.5%
Total Percent:27.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 6-104.5%
ADL Index Range: 0-52.0%
Total Percent:9.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.3%
ADL Index Range: 6-101.3%
ADL Index Range: 0-50.2%
Total Percent:4.8%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.2%
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: 11-14
- No Signs of depression
0.06%
Total Percent:0.06%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.06%
ADL Index Range: 6-10
- No Signs of depression
0.8%
Total Percent:0.9%
 

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
0.06%
ADL Index Range: 6-10
- Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.06%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:0.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
0.4%
ADL Index Range: 11-14
- Less restorative nursing
0.8%
ADL Index Range: 6-10
- Less restorative nursing
0.2%
Total Percent:1.4%
 

Rating Details For Milford Care and Rehabilitation Center

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) Hours43 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 48 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 34 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 22 Minutes4 Hours and 22 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 Season85%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%92%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%63%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%3%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination73%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%18%
Percent of Short-Stay Residents Who Have Pressure Sores16%12%
Percent of Short-Stay Residents Who Have Delirium2%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 10/01/2010.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/20/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/15/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/15/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
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: 10/09/2008
  • Correction Date: 12/09/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
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: 08/06/2009
  • Correction Date: 09/20/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/15/2010
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: 10/01/2010
  • Correction Date: 11/15/2010

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.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 10/09/2008
  • Correction Date: 12/09/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Milford Care and Rehabilitation Center, 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: 12/23/2008
  • Correction Date: 02/12/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/09/2008
  • Correction Date: 09/13/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/09/2008
  • Correction Date: 09/13/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/02/2009
  • Correction Date: 03/18/2009

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Complaint Filed: 06/09/2008
  • Correction Date: 09/13/2008
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011