TWIN MAPLES HEALTHCARE, INC

The information listed below provides an in-depth look into the type and quality of care offered at Twin Maples Healthcare, Inc. 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

TWIN MAPLES HEALTHCARE, INC
809 R NEW HAVEN ROAD
DURHAM, CT 06422
(860) 349-1041

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: 42
  • Certified Beds: 44

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Wallingford | Meriden | Middletown

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Special Care High". 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 Twin Maples Healthcare, Inc. 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

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1017.6%
Total Percent:17.6%
 

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: 6-10
- No Signs of depression
82.4%
Total Percent:82.4%
 

Rating Details For Twin Maples Healthcare, Inc

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 Minutes44 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours16 Minutes33 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 57 Minutes2 Hours and 15 Minutes
Total Licensed Nurse Hours59 Minutes1 Hour and 18 Minutes
Total Nurse Hours2 Hours and 56 Minutes3 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 Connecticut are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityConnecticut Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%85%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%15%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%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 Bladder56%52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%11%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores-9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%78%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%79%

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 05/13/2010.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/28/2008
  • Correction Date: 04/25/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009
Have Enough Outside Airflow.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009

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: 03/28/2008
  • Correction Date: 04/25/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/28/2008
  • Correction Date: 04/25/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/28/2008
  • Correction Date: 04/25/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/24/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/24/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/28/2008
  • Correction Date: 04/25/2008

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/29/2009
  • Correction Date: 06/09/2009
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: 05/13/2010
  • Correction Date: 06/24/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Twin Maples Healthcare, Inc, 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: 10/06/2008
  • Correction Date: 11/17/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Twin Maples Healthcare, Inc had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/12/2010.

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

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/12/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/21/2008
  • Correction Date: 07/11/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/28/2009
  • Correction Date: 06/12/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/12/2010
  • Correction Date: 07/23/2010
Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011