Abuse.com - DEXTER HEALTH CARE

Abuse.com Nursing Home Profile

Detailed information for DEXTER HEALTH CARE

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

DEXTER HEALTH CARE	As of 03/04/2004
64 PARK STREET DEXTER, ME 04930 (207) 924-5516	Not located within a Hospital Resident Councils Only 62 Certified Beds
Initial Date of Certification: 01/01/1993 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures	Percentage for DEXTER HEALTH CARE	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	30%	16%
Percent of Residents Who Have Moderate to Severe Pain	2%	6%
Percent of High-Risk Residents Who Have Pressure Sores	18%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	3%
Percent of Residents Who Were Physically Restrained	8%	8%
Percent of Residents Who are More Depressed or Anxious	45%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	NOT AVAILABLE	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	4%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	10%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	NOT AVAILABLE	13%
Percent of Residents With a Urinary Tract Infection	10%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	20%	22%
Percent of Short-Stay Residents With Pressure Sores	19%	21%

Inspection Results

DEXTER HEALTH CARE 64 PARK STREET DEXTER, ME 04930 (207) 924-5516
Date of this inspection: 03/04/2004 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 18 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. (07/23/2003)	08/06/2003	1 = Potential for minimal harm	Some
2. Keep each resident free from physical restraints, unless needed for medical treatment. (03/04/2004)		3 = Actual harm	Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
3. Give professional services that meet a professional standard of quality. (07/23/2003)	09/01/2003	1 = Potential for minimal harm	Some
4. Give each resident care and services to get or keep the highest quality of life possible. (03/04/2004)		2 = Minimal harm or potential for actual harm	Few
5. Give professional services that follow each resident's written care plan. (03/04/2004)		1 = Potential for minimal harm	Some
6. Give professional services that meet a professional standard of quality. (03/04/2004)		2 = Minimal harm or potential for actual harm	Few
7. Provide activities to meet the needs of each resident. (03/04/2004)		2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
8. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (07/23/2003)	08/08/2003	2 = Minimal harm or potential for actual harm	Few
9. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (03/04/2004)		2 = Minimal harm or potential for actual harm	Some
10. Do a new assessment after any major change in a resident's physical or mental health. (03/04/2004)		2 = Minimal harm or potential for actual harm	Few
11. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. (03/04/2004)		2 = Minimal harm or potential for actual harm	Some
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. Provide enough notice before discharging or transferring a resident. (03/04/2004)		1 = Potential for minimal harm	Many
13. Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. (03/04/2004)		1 = Potential for minimal harm	Many
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
14. 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. (07/23/2003)	08/22/2003	2 = Minimal harm or potential for actual harm	Some
15. Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. (03/04/2004)		1 = Potential for minimal harm	Some
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
16. Follow all laws and professional standards. (07/23/2003)	08/26/2003	2 = Minimal harm or potential for actual harm	Some
17. Follow all laws and professional standards. (03/04/2004)		2 = Minimal harm or potential for actual harm	Many
18. Keep accurate and appropriate medical records. (03/04/2004)		1 = Potential for minimal harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	DEXTER HEALTH CARE	State Average in	National Average
Number of Residents	56	42.8	89.2
RN Hours per Resident per Day*	0.82	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.13	0.7	0.8
CNA Hours per Resident per Day*	3.22	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	4.17	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

Please use your browser's back button to return to the previous page.