CHARLWELL HOUSE

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 Charlwell House. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 09/21/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/09/2008 Correction Date: 10/09/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/21/2010 Correction Date: 10/19/2010

Pharmacy Service

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: 09/09/2008 Correction Date: 10/09/2008

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/09/2008 Correction Date: 10/09/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/10/2009 Correction Date: 08/31/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/10/2009 Correction Date: 08/31/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/21/2010 Correction Date: 10/19/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 09/21/2010 Correction Date: 10/19/2010
Give Special Rehabilitation by Skilled Workers, when Ordered by a Doctor. Inspection Date: 09/21/2010 Correction Date: 10/19/2010

Resident Assessment

Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 09/09/2008 Correction Date: 10/09/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/09/2008 Correction Date: 10/09/2008
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: 08/10/2009 Correction Date: 08/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/10/2009 Correction Date: 08/31/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/21/2010 Correction Date: 10/19/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 09/21/2010 Correction Date: 10/19/2010

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

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 04/02/2009 Correction Date: 04/27/2009