TRANSITIONAL CARE CENTER OF WOLFEBORO
Address
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
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 Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 8.7% |
| ADL Index Range: 6-10 | 24.8% |
| ADL Index Range: 0-5 | 0.5% |
| Total Percent: | 34.0% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.7% |
| ADL Index Range: 6-10 | 11.6% |
| ADL Index Range: 0-5 | 3.4% |
| Total Percent: | 18.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 4.0% |
| ADL Index Range: 6-10 | 11.2% |
| Total Percent: | 15.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 5.3% |
| ADL Index Range: 6-10 | 5.7% |
| ADL Index Range: 0-5 | 3.7% |
| 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 41 Minutes | |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 55 Minutes | |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 36 Minutes | |
| Total Licensed Nurse Hours | 2 Hours and 36 Minutes | |
| Total Nurse Hours | 5 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 Facility | New Hampshire Average |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 3% | 2% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 9% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 36% | 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 Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Give or Get Lab Tests by a Certified Laboratory.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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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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Resident Rights
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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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 Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
| | |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
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.
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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 Inspectors | Degree of Harm | Residents Affected |
Building Service Equipment
Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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