Provider Name: QUABOAG REHABILITATION & SKILLED CARE FACILITY
Address: 47 EAST MAIN STREET, WEST BROOKFIELD, MA 01585
Phone: (508) 867-7716
County: Worcester (170)
Ownership Type: Non profit - Corporation
Certified Beds: 166
Average Residents Per Day: 134. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: FAIR HAVENS INC
First Approved Date: October 1, 1989
Affiliated Entity: ASCENTRIA CARE ALLIANCE (49)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.36385, LPN Staff Hours Per Day: 1.1569, RN Staff Hours Per Day: 0.5336, Licensed Staff Hours Per Day: 1.6906
Total Nurse Staff Hours Per Day, per resident: 4.05446
Weekend Nurse Staff Hours: 3.56087, Weekend RN Staff Hours: 0.3564
PT Staff Hours Per Day, per resident: 0.0947
Nurse Staff Turnover: 45.6, Nurse Turnover Note:
RN Turnover: 31.6, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1966, Case Mix LPN Hours Per Day: 0.7138, Case Mix RN Hours Per Day: 0.3147
Adjusted Nurse Aide Hours Per Day, per resident: 2.19229, Adjusted LPN Hours Per Day: 1.1960, Adjusted RN Hours Per Day: 0.6388
Total Adjusted Nurse Hours Per Day, per resident: 3.96239
Adjusted Weekend Nurse Hours Per Day, per resident: 3.48001
Health Survey Dates and Scores: Cycle 1: 2022-11-21 (Score: 4), Cycle 2: 2020-02-14 (Score: 4), Cycle 3: 2018-11-30 (Score: 8)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 47 EAST MAIN STREET,WEST BROOKFIELD,MA,01585 (42.2359, -72.138)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-09
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-01-27
Type: Health, Deficiency: Assist a resident in gaining access to vision and hearing services.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-11
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-11
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: