Abuse.com - EPSOM HEALTHCARE CENTER

Abuse.com Nursing Home Profile

Detailed information for EPSOM HEALTHCARE CENTER

Nursing Home Results

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

EPSOM HEALTHCARE CENTER As of 11/06/2003
901 SUNCOOK VALLEY HIGHWAY
EPSOM, NH 03234
(603) 736-4772
 Not located within a Hospital
Resident Councils Only
108 Certified Beds
Initial Date of Certification: 02/01/1997
Type of Ownership: Non profit - Corporation
A Multi-Nursing home (chain) Ownership
Date of Last Change of Ownership: 01/01/2002 		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 EPSOM HEALTHCARE CENTER Average in 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 6%   14%
Percent of Low-Risk Residents Who Have Pressure Sores 0%   3%
Percent of Residents Who Were Physically Restrained 9%   8%
Percent of Residents Who are More Depressed or Anxious 6%   15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 32%   47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 3%   6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 3%   4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 5%   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 11%   22%
Percent of Short-Stay Residents With Pressure Sores 11%   21%

Inspection Results

EPSOM HEALTHCARE CENTER
901 SUNCOOK VALLEY HIGHWAY
EPSOM, NH 03234
(603) 736-4772
Date of this inspection: 11/06/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 16
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.

(11/06/2003) 		01/05/2004
 3 = Actual harm

Actual harm
 Few
2. Give professional services that meet a professional standard of quality.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
3. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

(11/06/2003) 		01/05/2004
 3 = Actual harm

Actual harm
 Few
4. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.

(11/06/2003) 		01/05/2004
 3 = Actual harm

Actual harm
 Some
5. Make sure that each resident's nutritional needs were met.

(11/06/2003) 		01/05/2004
 3 = Actual harm

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)
6. Do a new assessment after any major change in a resident's physical or mental health.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

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)
7. Store, cook, and give out food in a safe and clean way.

(06/13/2003) 		07/10/2003
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
8. 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.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

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)
9. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
10. Make sure that residents are safe from serious medication errors.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

 Residents Affected

(Few -> Some -> Many)
11. Have a program to keep infection from spreading.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
12. Make sure that the nursing home area is free of dangers that cause accidents.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for 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)
13. Choose a doctor to be the medical director.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
14. Give or get lab tests to meet the needs of residents.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some
15. Hold committee meetings every 3 months to review and ensure quality in the nursing home.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Many
16. Keep accurate and appropriate medical records.

(11/06/2003) 		01/05/2004
 2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
 Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
  EPSOM HEALTHCARE CENTER State Average in National Average
Number of Residents 105 42.8 89.2
RN Hours per Resident per Day* 0.85 1.7 0.7
LPN/LVN Hours per Resident per Day* 0.24 0.7 0.8
CNA Hours per Resident per Day* 2.15 4 2.4
Total Number of Nursing Staff Hours per Resident per Day* 3.24 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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