Nursing Home Grades
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EPOCH SENIOR HEALTHCARE OF HARWICH
111 HEADWATERS DRIVE
HARWICH, MA  02645
(508) 430-1717

Size (date of last inspection: 20050712)
135 total beds available
127 current residents
94% occupied

Staff Presence
0 nurse hours per resident per day
Not Available with Registered Nurses
Not Available with Licensed Practical Nurses
Not Available 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: 20050712)
    4%Percent of Residents Who Were Physically Restrained
    4%Percent of Low-Risk Residents Who Have Pressure Sores
    21%Percent of Residents Who are More Depressed or Anxious
    18%Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
    55%Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
    3%Percent of Residents Who Lose Too Much Weight
    21%Percent of Residents Whose Need for Help With Daily Activities Has Increased
    12%Percent of Residents With a Urinary Tract Infection
    15%Percent of High-Risk Residents Who Have Pressure Sores
    18%Percent of Short-Stay Residents Who Had Moderate to Severe Pain
    2%Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
    6%Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
    4%Percent of Residents Who Have Moderate to Severe Pain
    30%Percent of Short-Stay Residents With Pressure Sores
    2%Percent of Short-Stay Residents With Delirium

    Deficiencies Found in Home Inspections
    7
    1...12     		Quality Care: Make sure that each resident's nutritional needs were met.
    Level of Harm: Actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Mistreatment: 1) Hire only people who have 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.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040506Corrected By: 20040630
    5
    1...12     		Administration: Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040506Corrected By: 20040630
    5
    1...12     		Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Quality Care: Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Pharmacy Service: Provide drugs and related services needed by each resident.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20040506Corrected By: 20040630
    5
    1...12     		Resident Rights: Keep each resident's personal and medical records private and confidential.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Mistreatment: 1) Hire only people who have 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.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Resident Rights: Try to resolve each resident's complaints quickly.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20030304Corrected By: 20030508
    5
    1...12     		Resident Rights: Keep each resident's personal and medical records private and confidential.
    Level of Harm: Minimal harm or potential for actual harmScope: Pattern
    Survey Date: 20050712Corrected By: 20050715
    4
    1...12     		Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040506Corrected By: 20040630
    4
    1...12     		Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20040506Corrected By: 20040630
    4
    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 harmScope: Isolated
    Survey Date: 20040506Corrected By: 20040630
    4
    1...12     		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 harmScope: Isolated
    Survey Date: 20050712Corrected By: 20050802
    4
    1...12     		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 harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Administration: Keep accurate and appropriate medical records.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20050712Corrected By: 20050725
    4
    1...12     		Resident Rights: Let residents give themselves their drugs if they are able.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Resident Rights: Provide services to meet the needs and preferences of each resident.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Environmental: Keep safe, clean and homelike surroundings.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Environmental: Provide needed housekeeping and maintenance.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Pharmacy Service: Act when the pharmacist reports something unusual.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Environmental: Have a program to keep infection from spreading.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030508
    4
    1...12     		Administration: Keep accurate and appropriate medical records.
    Level of Harm: Minimal harm or potential for actual harmScope: Isolated
    Survey Date: 20030304Corrected By: 20030612
    3
    1...12     		Administration: Follow all laws and professional standards.
    Level of Harm: Potential for minimal harmScope: Widespread
    Survey Date: 20040506Corrected By: 20040812
    3
    1...12     		Resident Rights: Allow residents to easily see the results of the nursing home's most recent survey.
    Level of Harm: Potential for minimal harmScope: Widespread
    Survey Date: 20040506Corrected By: 20040812
    2
    1...12     		Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
    Level of Harm: Potential for minimal harmScope: Pattern
    Survey Date: 20050712Corrected By: 20050715

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