HIGHLAND MANOR 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

Long-Term Stay Deficiencies

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 05/28/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/28/2010 Correction Date: 07/21/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/21/2009 Correction Date: 07/03/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/28/2010 Correction Date: 07/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/21/2009 Correction Date: 07/03/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 05/21/2009 Correction Date: 07/03/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 05/28/2010 Correction Date: 07/21/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/28/2010 Correction Date: 07/21/2010

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: 05/28/2010 Correction Date: 07/21/2010
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 05/28/2010 Correction Date: 07/21/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 05/28/2010 Correction Date: 07/21/2010