Nursing Homes Reportable Incidents
Category: Health > Seniors
Asked by: lerich33-ga
List Price: $5.00
05 Mar 2004 04:24 PST
Expires: 04 Apr 2004 05:24 PDT
Question ID: 313710
I would like to know of reports of incidents occuring at The Hermitage (Hermitage A Beverly Hc nursing home) of Worcester, Massachusetts. I heard there is a report put out by the Massachusetts Attorney General. Thank you.
Re: Nursing Homes Reportable Incidents
Answered By: pafalafa-ga on 05 Mar 2004 09:22 PST
Hello. I checked with the Attorney General's site, and there is no report about this particular facility. The Mass. AG's site can be searched here: http://www.ago.state.ma.us/txt/ A search on "hermitage" returns no results. A search on "nursing homes" will return a number of interesting documents about prosecutions involving nursing homes throughout the state, although again, The Hermitage in Worcester is not among them. From what I understand of the oversight system in Massachusetts, complaints made to the Attorney General's office would be investigated, at the outset, by the Mass. Department of Public Health, Division of Health Care Quality. You can visit their website at: http://www.state.ma.us/dph/qtool/qthome.htm which offers a lot of information about their oversight role. They also offer an online database search of complaints/inspection records for individual nursing homes, including The Hermitage. NOTE, however, that the search function is very iffy and unreliable -- it seems to work OK with some browsers, but not with others. The search page can be seen at: http://www.state.ma.us/dph/qtool2/ Quality Rating Tool Search Page Enter the facility name -- Hermitage -- into the search box, and the system will (hopefully) return a record that indicates a high score and a very clean bill of health for this particular facility. For the sake of convenience, I have duplicated the report information below. The only criteria not met by The Hermitage was regarding an incident in 2001 that had to do with not respecting the "dignity" of a patient or patients. I hope this information fully meets your needs. But if you have any questions about the answer I have provided, let me know by posting a Request for Clarification, and I'll be happy to assist you further. pafalafa-ga ========== HERMITAGE-A BEVERLY HC FACILITY (TH 383 MILL STREET WORCESTER, MASSACHUSETTS 01602 TELEPHONE: (508)791-8131 Standard Survey Dates: 11/17/2003 12/16/2002 11/5/2001 Complaint Investigation(s): 4/7/2003 Change of Ownership: No Change of Ownership in reported time period Enforcement: Jeopardy No Jeopardy Actions in reported time period Substandard Quality of Care No Substandard Quality of Care Actions in reported time period Termination No Termination Actions in reported time period Denial of Payments No Denial of Payments Actions in reported time period Admission Freeze No Admission Freeze Actions in reported time period OVERALL PERFORMANCE SUMMARY RESULTS: Standard Survey - 131 of 132 Met Complaint Investigation Deficiencies - 0 Score after adjustment for Scope and Severity : 131 This nursing facility met 131 out of the 132 key requirements in all five categories in its last three surveys. The number of deficiencies not met as a result of complaint investigations is: 0 . The facility's score is 131 after adjustment for scope and severity. 91% of all facilities had a score of 131 or lower. The statewide average facility score is 122. ----- HERMITAGE-A BEVERLY HC FACILITY (TH 383 MILL STREET WORCESTER, MASSACHUSETTS 01602 TELEPHONE: (508)791-8131 PERFORMANCE SUMMARY FOR EACH CATEGORY ADMINISTRATION RESULTS: Standard Survey - 39of 39 Met Complaint Investigation Deficiencies - 0 Score after Adjustment for Scope and Severity :39 This nursing facility met 39 out of the 39 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 39. The statewide average facility score was 36. NURSING RESULTS: Standard Survey - 33of 33 Met Complaint Investigation Deficiencies - 0 Score after Adjustment for Scope and Severity :33 This nursing facility met 33 out of the 33 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 33. The statewide average facility score was 29. RESIDENT RIGHTS RESULTS: Standard Survey - 26of 27 Met Complaint Investigation Deficiencies - 0 Score after Adjustment for Scope and Severity :26 This nursing facility met 26 out of the 27 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 26. The statewide average facility score was 26. The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below. The facility ensures the dignity of each resident. (F 241) 11/5/2001E KITCHEN/FOOD SERVICES RESULTS: Standard Survey - 12of 12 Met Complaint Investigation Deficiencies - 0 Score after Adjustment for Scope and Severity :12 This nursing facility met 12 out of the 12 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 12. The statewide average facility score was 11. ENVIRONMENT RESULTS: Standard Survey - 21of 21 Met Complaint Investigation Deficiencies - 0 Score after Adjustment for Scope and Severity :21 This nursing facility met 21 out of the 21 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 21. The statewide average facility score was 20.
Re: Nursing Homes Reportable Incidents
From: punzel-ga on 05 Mar 2004 07:42 PST
hello. you are fortunate to be making this inquiry now. ten years ago, there would not have been nearly as much information available to you. In 1995, the U.S. Dept. of Health and Human Services issued the toughest nursing home regulations in the history of Medicare and Medicaid, which led to measurable improvements in quality of care for nursing home residents. If your State Attorney General has issued a report, it is probably available on-line, by calling the Atty. Gen.'s office, or by writing to request a copy. Here's the website for the Mass. AG's Consumer Protection Division: http://www.ago.state.ma.us/con_pro/index.asp?head1=Consumer+Protection§ion=17 Here's some background on what the government has done/is doing to bring more accountability of nursing home administrators/facility owners: The Health Care Financing Administration [HCFA] now requires states to crack down on nursing homes that repeatedly violate health and safety requirements. [This initiative, you should know, started with the Clinton Administration in about 1995.] It also gives consumers ready access to comparative information about nursing home quality. The inspection process focuses on preventing bedsores, malnutrition and resident abuse. States are now able to impose immediate sanctions, such as fines, against nursing homes in many situations -- including any time that a nursing home is found to have caused harm to a resident on consecutive surveys. SURVEYS ARE NOW ROUTINELY CONDUCTED OF ALL NURSING HOMES by State Agencies, usually through a State's Health Department. Nursing homes that do not fix the problems will lose their ability to receive Medicare and Medicaid payments. Citizens may obtain copies of the surveys, as well as the nursing home's response, and any follow-up surveys, through the FREEDOM OF INFORMATION ACT process. To send an FOIA request, write a letter to your State Health Dept., giving them the EXACT name & address of the nursing home [Beverly is a HUGE corporation and has thousands of facilities nationwide], and the YEARS for which you want the surveys. You may have to pay a photocopying fee. I am a litigation paralegal, and have worked on far too many lawsuits against nursing homes over patient abuse and deaths caused by neglect. I know from experience that the surveys are voluminous, and unless you tailor and narrow your request, you may get back thousands of pages. You may be able to go to the Health Dept and review the information once it has been gathered up for you by the Health Dept. and then decide what you want to have copied. Asking for the last year or two of surveys is probably sufficient. The nursing home has an opportunity to reply and to correct any problems found in the survey. A follow-up survey will then determine if the problem had been corrected or still remained. Nursing Home Compare, HCFA?s Internet resource for consumers, includes data about residents? health status at every Medicare- and Medicaid-certified nursing home -- including data about the prevalence of bedsores, incontinence and other conditions. This new information, as well as nursing-home inspection results, is on HCFA?s consumer website: www.medicare.gov. You can also use HCFA?s updated "Guide to Choosing a Nursing Home" which helps families and friends step-by-step through the process of identifying an appropriate home for a loved one. The guide includes questions to ask, a nursing-home checklist and expanded information about recognizing, reporting and preventing abuse and neglect. Also, since 1998, states must investigate complaints alleging actual harm to residents within 10 days. They also must continue to investigate the most serious complaints within two days, and other complaints in a timely manner. States now must conduct more frequent inspections of nursing homes with repeated serious violations without decreasing their inspections for other facilities. And, States must consider the performance of other facilities in a chain of nursing homes when determining appropriate penalties against another facility in the same chain. State inspectors now must stagger surveys and conduct visits on weekends, early mornings and evenings, when quality, safety and staffing problems may be more likely to occur. State inspectors now use new inspection protocols to detect quality problems in nursing homes using a systematic, data-driven process. The new surveys focus additional attention on preventing bedsores, malnutrition and abuse affecting nursing-home residents. HCFA has posted best practice guidelines on the Internet to help nursing homes care for residents at risk of weight loss and dehydration. HCFA works with the American Dietetic Association, clinicians, consumers, and nursing homes to expand this repository. The site can be reached at: www.hcfa.gov/medicaid/siq/siqhmpg.htm. Finally, all states have a long-term care ombudsman program. The ombudsmen serve as advocates for residents, help residents, their families and their friends voice their concerns, and identify and correct substandard conditions and potential incidents of abuse and neglect. Nursing homes are now also required to conduct criminal background checks of employees. There is a national registry of workers who have been convicted of abusing residents. If you have facing the difficult decision of placing a loved one in a nursing facility, I hope you'll take advantage of these resources. Best of luck to you.
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