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EPOCH SENIOR HEALTHCARE OF BREWSTER
873 HARWICH ROAD
BREWSTER, MA 02631
(508) 896-7046
Size (date of last inspection: 20051028)
173 total beds available
154 current residents
89% occupied
Staff Presence
3.9 nurse hours per resident per day
0.97 with Registered Nurses
0.4 with Licensed Practical Nurses
2.53 with Certified Nurse Assistants
Medicare and Medicaid
Yes participant in Medicare
Yes participant in Medicaid
Administration Details
This home is owned by a for-profit corporation
This home is not located within a hospital
The owner does own other homes
This home has resident and family councils
Resident Details (survey date: 20051028)
| 74% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 10% | Percent of Short-Stay Residents With Pressure Sores |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 16% | Percent of Residents Who are More Depressed or Anxious |
| 8% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 28% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 6% | Percent of Short-Stay Residents With Delirium |
| 2% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 17% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 11% | Percent of Residents Who Lose Too Much Weight |
| 34% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 24% | Percent of Residents Who Were Physically Restrained |
Deficiencies Found in Home Inspections
5
1...12
|
Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
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Administration: Get services outside the nursing home that meet professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
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Quality Care: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
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Resident Rights: Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050112 | Corrected By: | 20050221 |
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4
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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4
1...12
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Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050112 | Corrected By: | 20050221 |
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4
1...12
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Pharmacy Service: Use the services of a licensed pharmacist.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050112 | Corrected By: | 20050221 |
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4
1...12
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Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050112 | Corrected By: | 20050221 |
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4
1...12
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Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050112 | Corrected By: | 20050221 |
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4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051028 | Corrected By: | 20051209 |
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