SAMUEL MARCUS NURSING HOME

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.

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.

Long-Term Stay Preventive Actions

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 02/04/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Post Nurse Staffing Information. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/03/2010 Correction Date: 07/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Keep All Essential Equipment Working Safely. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/04/2011 Correction Date: 03/21/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/03/2010 Correction Date: 07/20/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents. Inspection Date: 06/03/2010 Correction Date: 07/20/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
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: 02/04/2011 Correction Date: 03/21/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/30/2009 Correction Date: 09/15/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/04/2011 Correction Date: 03/21/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
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: 06/03/2010 Correction Date: 07/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
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: 06/03/2010 Correction Date: 07/20/2010
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Do an Assessment of the Resident Every Year. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
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: 02/04/2011 Correction Date: 03/21/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/04/2011 Correction Date: 03/21/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 06/03/2010 Correction Date: 07/20/2010
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 02/04/2011 Correction Date: 03/21/2011
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: 02/04/2011 Correction Date: 03/21/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/04/2011 Correction Date: 03/21/2011

The table below lists incident reports by the nursing staff or administration for Samuel Marcus Nursing Home, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 09/16/2009 Correction Date: 10/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/16/2009 Correction Date: 10/28/2009

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: 09/16/2009 Correction Date: 10/28/2009