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OUR LADY'S HAVEN - FAIRHAVEN, MA

 

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Address
71 CENTER STREET
FAIRHAVEN, MA, 02719
Phone (make sure to verify first before calling): (508) 999-4561

Number of Certified Beds: 117
Total Number of Residents: 107
Percent of Occupied Beds: 91%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 8.00
Administrative Staff - Part Time: 1.04
Certified Nurse Aides - Full Time: 42.34
Certified Nurse Aides - Part Time: 20.37
Dietitians - Under Contract: 0.29
Food Service Personnel - Full Time: 6.50
Food Service Personnel - Part Time: 8.04
Housekeeping Personnel - Full Time: 12.54
Licensed Practical/ Vocational Nurses - Full Time: 6.86
Licensed Practical/ Vocational Nurses - Part Time: 10.77
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 6.86
Persons Not Included In Any Other Categories - Full Time: 3.43
Physical Therapists - Under Contract: 1.10
Registered Nurses - Full Time: 2.29
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 0.57
Occupational Therapists - Under Contract: 0.76
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.71
Physician Extenders - Under Contract: 0.06
Persons Not Included In Any Other Categories - Part Time: 2.20
Registered Nurses - Part Time: 5.77
Occupational Therapy Assistants - Under Contract: 1.13
Housekeeping Personnel - Part Time: 2.63

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.930
Massachusetts:

0.845
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.810
Massachusetts:

0.817
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.750
Massachusetts:

1.661
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.050
Massachusetts:

0.100
Number Therapy Hours Per Resident Per Day
Here:

0.050
Massachusetts:

0.101

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

22.8%
Massachusetts:

13.3%
Percent of long-stay residents who self-report moderate to severe pain
Here:

3.2%
State:

7.7%
Percent of long-stay high-risk residents with pressure ulcers
Here:

8.7%
Massachusetts:

5.6%
Percent of long-stay residents who lose too much weight
This Nursing Home:

6.1%
State:

6.5%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

5.1%
State:

3.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

12.1%
State:

7.0%
Percent of long-stay residents who were physically restrained
Here:

3.9%
State:

2.4%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

2.9%
Massachusetts:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
State:

96.5%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

99.0%
State:

96.8%
Percent of short-stay residents who self-report moderate to severe pain
Here:

11.1%
State:

21.6%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

5.0%
State:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

91.7%
State:

90.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

87.7%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

4.5%
Massachusetts:

2.3%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

28.0%
Massachusetts:

25.2%

Complaint Deficiency

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Give the resident's representative the ability to exercise the resident's rights: Few (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Some (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Immediate jeopardy to resident health or safety)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Give the right treatment and services to residents who have mental or psychosocial problems adjusting: Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

Put firmly secured handrails on each side of hallways: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

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