CROTCHED MOUNTAIN REHABILITATION CENTER

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 Crotched Mountain Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Very High Rehabilitation

Medium Rehabilitation

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 New Hampshire 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

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 04/07/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/29/2010 Correction Date: 06/07/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/09/2009 Correction Date: 05/22/2009
Keep All Essential Equipment Working Safely. Inspection Date: 04/29/2010 Correction Date: 06/07/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/07/2011 Correction Date: 06/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/07/2011 Correction Date: 06/15/2011
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/07/2011 Correction Date: 05/10/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 04/07/2011 Correction Date: 05/10/2011
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: 04/07/2011 Correction Date: 06/15/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/07/2011 Correction Date: 06/15/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/07/2011 Correction Date: 05/10/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/07/2011 Correction Date: 05/10/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/07/2011 Correction Date: 06/15/2011

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 04/09/2009 Correction Date: 05/22/2009
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: 04/09/2009 Correction Date: 05/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/29/2010 Correction Date: 06/07/2010
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. Inspection Date: 04/29/2010 Correction Date: 06/07/2010
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. Inspection Date: 04/07/2011 Correction Date: 06/15/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/09/2009 Correction Date: 05/22/2009
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: 04/07/2011 Correction Date: 05/10/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/07/2011 Correction Date: 05/10/2011

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

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. Complaint Filed: 04/29/2010 Correction Date: 06/07/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 04/29/2010 Correction Date: 06/07/2010

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 Crotched Mountain Rehabilitation Center 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 04/07/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/07/2009 Correction Date: 05/15/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/07/2009 Correction Date: 05/15/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/29/2010 Correction Date: 07/13/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/29/2010 Correction Date: 07/13/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 04/07/2011 Correction Date: 05/22/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/07/2009 Correction Date: 05/15/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/07/2009 Correction Date: 05/15/2009

Electrical

Proper Power Supply for Life Support Equipment. Inspection Date: 04/07/2009 Correction Date: 05/15/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/07/2011 Correction Date: 05/22/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/07/2009 Correction Date: 05/15/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/07/2011 Correction Date: 05/22/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/29/2010 Correction Date: 07/13/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/29/2010 Correction Date: 07/13/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/07/2011 Correction Date: 05/22/2011

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 04/07/2009 Correction Date: 05/15/2009