KINDRED NURSING AND REHABILITATION-TOWER HILL

The information listed below provides an in-depth look into the type and quality of care offered at Kindred Nursing and Rehabilitation-Tower Hill. 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

KINDRED NURSING AND REHABILITATION-TOWER HILL
ONE MEADOWBROOK WAY
CANTON, MA 02021
(781) 961-5600

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 150
  • Certified Beds: 164

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Randolph | Stoughton | Braintree

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 "Medium 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 Kindred Nursing and Rehabilitation-Tower Hill. 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: 11-167.0%
Total Percent:7.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.1%
ADL Index Range: 6-102.1%
ADL Index Range: 0-516.3%
Total Percent:28.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.7%
ADL Index Range: 6-109.0%
ADL Index Range: 0-56.0%
Total Percent:18.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1615.6%
ADL Index Range: 6-1010.1%
ADL Index Range: 0-57.8%
Total Percent:33.5%
 

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
0.7%
ADL Index Range: 6-10
- No Signs of depression
2.8%
Total Percent:3.5%
 

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
0.4%
ADL Index Range: 2-5
- No Signs of depression
0.5%
Total Percent:0.9%
 

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
- No Signs of depression
3.5%
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 2-5
- Signs of depression
1.3%
ADL Index Range: 0-1
- No Signs of depression
2.2%
Total Percent:7.7%
 

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: 15-16
- Less restorative nursing
0.1%
ADL Index Range: 6-10
- Less restorative nursing
0.1%
Total Percent:0.2%
 

Rating Details For Kindred Nursing and Rehabilitation-Tower Hill

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) Hours39 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours60 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 56 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 43 Minutes
Total Nurse Hours3 Hours and 34 Minutes4 Hours and 6 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 FacilityMassachusetts Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season76%93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%63%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%2%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination78%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season63%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores11%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%18%

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 05/16/2011.

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

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 05/16/2011
  • Correction Date: 06/30/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/19/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/19/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/19/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/16/2011
  • Correction Date: 06/30/2011
Give or Get Dental Care for Each Resident.
  • Inspection Date: 05/16/2011
  • Correction Date: 06/30/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/19/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/19/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)06/04/2010$3,250
Civil Money Penalty (CMP)03/30/2009$9,588
Civil Money Penalty (CMP)03/30/2009$38,285
Denial of Payment for New Admission (DPNA)03/30/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Kindred Nursing and Rehabilitation-Tower Hill, 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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 08/14/2008
  • Correction Date: 10/21/2008

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.
  • Complaint Filed: 06/22/2009
  • Correction Date: 09/02/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 08/14/2008
  • Correction Date: 10/21/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 08/14/2008
  • Correction Date: 10/21/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/26/2008
  • Correction Date: 10/29/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/22/2009
  • Correction Date: 08/06/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/22/2009
  • Correction Date: 08/06/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 10/06/2009
  • Correction Date: 11/23/2009

Resident Rights

Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life.
  • Complaint Filed: 08/14/2008
  • Correction Date: 10/21/2008
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 10/23/2008
  • Correction Date: 12/25/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/22/2009
  • Correction Date: 08/06/2009
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011