TRANSITIONAL CARE CENTER OF WOLFEBORO

The information listed below provides an in-depth look into the type and quality of care offered at Transitional Care Center of Wolfeboro. 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

TRANSITIONAL CARE CENTER OF WOLFEBORO
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894
(603) 569-7500

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

59%

Number of Residents and Certified Beds

  • Residents: 16
  • Certified Beds: 27

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Other
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Laconia | Meredith | Rochester

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 Transitional Care Center of Wolfeboro. 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

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: 11-168.7%
ADL Index Range: 6-1024.8%
ADL Index Range: 0-50.5%
Total Percent:34.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.7%
ADL Index Range: 6-1011.6%
ADL Index Range: 0-53.4%
Total Percent:18.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.0%
ADL Index Range: 6-1011.2%
Total Percent:15.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.3%
ADL Index Range: 6-105.7%
ADL Index Range: 0-53.7%
Total Percent:14.6%
 

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: 15-16
- No Signs of depression
0.4%
ADL Index Range: 11-14
- Signs of depression
1.2%
ADL Index Range: 11-14
- No Signs of depression
1.9%
ADL Index Range: 6-10
- No Signs of depression
2.6%
ADL Index Range: 2-5
- No Signs of depression
1.3%
Total Percent:7.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
3.7%
ADL Index Range: 0-1
- No Signs of depression
0.2%
Total Percent:3.9%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
1.9%
Total Percent:1.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
4.1%
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:4.4%
 

Rating Details For Transitional Care Center of Wolfeboro

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) Hours1 Hour and 41 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours55 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 36 Minutes
Total Licensed Nurse Hours2 Hours and 36 Minutes
Total Nurse Hours5 Hours and 12 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 New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Hampshire Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Have Pressure Sores9%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain36%24%

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 12/10/2010.

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

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011
Give or Get Lab Tests by a Certified Laboratory.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011
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: 12/10/2010
  • Correction Date: 01/24/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 11/05/2009
  • Correction Date: 01/20/2010
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/24/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Transitional Care Center of Wolfeboro, 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/20/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/20/2010

Resident Assessment

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.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/20/2010

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 Transitional Care Center of Wolfeboro 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 12/10/2010.

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

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/30/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/05/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/30/2009
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011