SANCTA MARIA NURSING FACILITY - CAMBRIDGE, MA

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Address

799 CONCORD AVENUE
CAMBRIDGE, MA, 02138

Phone (make sure to verify first before calling): (617) 868-2200

Number of Certified Beds: 141
Total Number of Residents: 134
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
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: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 10.26
Administrative Staff - Part Time: 2.74
Certified Nurse Aides - Full Time: 55.39
Certified Nurse Aides - Part Time: 17.56
Food Service Personnel - Full Time: 14.63
Food Service Personnel - Part Time: 4.99
Housekeeping Personnel - Full Time: 20.73
Licensed Practical/ Vocational Nurses - Full Time: 10.96
Licensed Practical/ Vocational Nurses - Part Time: 11.47
Medical Directors - Under Contract: 0.13
Mental Health Services Personnel - Under Contract: 0.57
Nurses With Administrative Duties - Full Time: 7.73
Persons Not Included In Any Other Categories - Full Time: 7.87
Physical Therapists - Under Contract: 0.24
Registered Nurses - Full Time: 12.64
Rn Director Of Nursing - Full Time: 1.03
Social Workers - Full Time: 1.03
Activities Professionals - Full Time: 1.03
Dietitians - Part Time: 1.00
Nurses With Administrative Duties - Part Time: 1.26
Occupational Therapists - Under Contract: 0.77
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.03
Other Physicians - Under Contract: 0.09
Physician Extenders - Under Contract: 0.04
Persons Not Included In Any Other Categories - Part Time: 2.43
Registered Nurses - Part Time: 6.64
Occupational Therapy Assistants - Under Contract: 0.01
Social Workers - Part Time: 1.03
Housekeeping Personnel - Part Time: 2.37

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

Here:	0.980
State:	0.845

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.800
Massachusetts:	0.817

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.780
State:	1.661

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.120
State:	0.100

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.120
State:	0.101

Quality Measures

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

This Nursing Home:	15.3%
Massachusetts:	13.3%

Percent of long-stay residents who self-report moderate to severe pain

Here:	3.3%
Massachusetts:	7.7%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.5%
Massachusetts:	5.6%

Percent of long-stay residents who lose too much weight

This Nursing Home:	2.0%
Massachusetts:	6.5%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	48.6%
Massachusetts:	49.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.1%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	2.9%
Massachusetts:	7.0%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	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:	100.0%
State:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

Here:	21.3%
Massachusetts:	21.6%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.2%
Massachusetts:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	90.1%
State:	90.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	89.9%
State:	87.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	2.5%
State:	2.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.3%
Massachusetts:	25.2%

Complaint Deficiency

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Fire-resistant interior walls: Few (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (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)

Make sure each resident receives an accurate assessment by a qualified health professional: 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)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

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)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

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)

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

Make sure each resident receives an accurate assessment by a qualified health professional: Some (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)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Few (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: Few (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)

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility: Many (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

COREY SKILLED NURSING FACILITY (1.52 miles)
CLARENDON HILL NURSING HOME, INC (SOMERVILLE, 1.57 miles)
EMERSON VILLAGE (WATERTOWN, 1.56 miles)
MAYOR MICHAEL J NEVILLE MANOR (0.25 miles)
MOUNT AUBURN HOSPITAL (1.43 miles)
NEVILLE CENTER AT FRESH POND FOR NURSING AND REHAB (0.27 miles)
WELLINGTON MANOR NH (ARLINGTON, 1.59 miles)

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