Abuse.com - CEDAR HILL HEALTH CARE CENTER

Abuse.com Nursing Home Profile

Detailed information for CEDAR HILL HEALTH CARE CENTER

Nursing Home Results

Contact Information:

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

CEDAR HILL HEALTH CARE CENTER	As of 09/03/2003
49 THOMAS PATTEN DRIVE RANDOLPH, MA 02368 (781) 961-1160	Not located within a Hospital Both Resident and Family Councils 168 Certified Beds
Initial Date of Certification: 06/01/1989 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 CEDAR HILL HEALTH CARE CENTER	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	13%	16%
Percent of Residents Who Have Moderate to Severe Pain	3%	6%
Percent of High-Risk Residents Who Have Pressure Sores	19%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	5%	3%
Percent of Residents Who Were Physically Restrained	5%	8%
Percent of Residents Who are More Depressed or Anxious	9%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	31%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	2%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	10%	13%
Percent of Residents With a Urinary Tract Infection	7%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	27%	22%
Percent of Short-Stay Residents With Pressure Sores	27%	21%

Inspection Results

CEDAR HILL HEALTH CARE CENTER 49 THOMAS PATTEN DRIVE RANDOLPH, MA 02368 (781) 961-1160
Date of this inspection: 09/03/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 31 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
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Give each resident care and services to get or keep the highest quality of life possible. (08/07/2003)	11/25/2003	3 = Actual harm	Few
2. Give each resident a special diet to help when there is a nutritional problem. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
3. Give each resident care and services to get or keep the highest quality of life possible. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
4. Give each resident enough fluids to keep them healthy and prevent dehydration. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
5. Give or get dental care for each resident. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
6. Give or get special rehabilitation if in the patient's plan of care. (09/03/2003)	11/04/2003	3 = Actual harm	Few
7. Give professional services that meet a professional standard of quality. (09/03/2003)	11/25/2003	2 = Minimal harm or potential for actual harm	Few
8. Give the right treatment and services to residents who have mental or social problems adjusting. (09/03/2003)	11/04/2003	3 = Actual harm	Some
9. Have enough nurses to care for every resident in a way that maximizes the resident's well being. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
10. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (09/03/2003)	11/04/2003	3 = Actual harm	Few
11. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. (09/03/2003)	11/04/2003	3 = Actual harm	Few
12. Provide social services for related medical problems to help each resident achieve the highest possible quality of life. (09/03/2003)	11/04/2003	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)
13. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. (09/03/2003)	11/04/2003	3 = Actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
14. Give the resident's legal representative the same rights as the resident. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
15. Let residents give themselves their drugs if they are able. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
16. Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
17. Provide care in a way that keeps or builds each resident's dignity and self respect. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
18. 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
19. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
20. Provide special eating equipment and utensils for each resident who needs them. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
21. Store, cook, and give out food in a safe and clean way. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual 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)
22. 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. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
23. Act when the pharmacist reports something unusual. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
24. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (09/03/2003)	11/25/2003	2 = Minimal harm or potential for actual harm	Some
25. Properly mark drugs and other similar products. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
26. Keep safe, clean and homelike surroundings. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some
27. Make sure that the nursing home area is free of dangers that cause accidents. (09/03/2003)	11/04/2003	3 = Actual harm	Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
28. Be administered in a way that leads to the highest possible level of well being for each resident. (09/03/2003)	11/04/2003	3 = Actual harm	Some
29. Give or get lab tests by a certified laboratory. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
30. Give or get lab tests to meet the needs of residents. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Few
31. Train all employees on what to do in an emergency. (09/03/2003)	11/04/2003	2 = Minimal harm or potential for actual harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	CEDAR HILL HEALTH CARE CENTER	State Average in	National Average
Number of Residents	143	42.8	89.2
RN Hours per Resident per Day*	1.01	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.71	0.7	0.8
CNA Hours per Resident per Day*	2.19	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	3.91	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

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