NEVILLE CENTER AT FRESH POND FOR NURSING & REHAB
The information listed below provides an in-depth look into the type and quality of care offered at Neville Center at Fresh Pond for Nursing & Rehab. 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
NEVILLE CENTER AT FRESH POND FOR NURSING & REHAB
640 CONCORD AVENUE
CAMBRIDGE, MA 02138
(617) 497-0600
640 CONCORD AVENUE
CAMBRIDGE, MA 02138
(617) 497-0600
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
92%Number of Residents and Certified Beds
- Residents: 103
- Certified Beds: 112
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- 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 Neville Center at Fresh Pond for Nursing & Rehab. 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
Rehabilitation 720 Minutes Per Week Minimum
- 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 | 0.2% |
| Total Percent: | 0.2% |
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: 11-16 | 15.8% |
| ADL Index Range: 6-10 | 71.5% |
| ADL Index Range: 0-5 | 9.1% |
| Total Percent: | 96.3% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.4% |
| ADL Index Range: 6-10 | 1.7% |
| ADL Index Range: 0-5 | 0.1% |
| Total Percent: | 2.2% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.5% |
| ADL Index Range: 6-10 | 0.4% |
| Total Percent: | 0.9% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.2% |
| ADL Index Range: 6-10 | 0.09% |
| ADL Index Range: 0-5 | 0.2% |
| Total Percent: | 0.4% |
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 | 0.03% |
| Total Percent: | 0.03% |
Rating Details For Neville Center at Fresh Pond for Nursing & Rehab
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 2 Minutes | 1 Hour and 23 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 57 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 38 Minutes | 2 Hours and 26 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 59 Minutes | 2 Hours and 6 Minutes |
| Total Nurse Hours | 4 Hours and 38 Minutes | 4 Hours and 32 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 |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 92% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 7% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 12% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 64% | 63% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 12% | 14% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 16% | 9% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 2% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 19% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 12% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 80% | 89% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 78% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 12% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 4% | 18% |
| Percent of Short-Stay Residents Who Have Delirium | - | 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 09/24/2010.
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 |
Administration
Choose a Doctor to Be the Medical Director.
|  |  |
Give or Get Lab Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Quickly Tell the Resident's Doctor the Results of Lab Tests.
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Keep Accurate and Appropriate Medical Records.
| | |
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| | |
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.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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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.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
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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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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Give the Resident's Legal Representative the Same Rights As the Resident.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Neville Center at Fresh Pond for Nursing & Rehab, 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011
