Provider Name: HANNAH B G SHAW HOME
Address: 299 WAREHAM STREET, MIDDLEBORO, MA 02346
Phone: (508) 947-1184
County: Plymouth (150)
Ownership Type: Non profit - Corporation
Certified Beds: 107
Average Residents Per Day: 65.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HANNAH B GRIFFITH SHAW HOME FOR THE AGED INC
First Approved Date: January 29, 1992
Affiliated Entity: ()
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: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.83725, LPN Staff Hours Per Day: 1.8455, RN Staff Hours Per Day: 0.8839, Licensed Staff Hours Per Day: 2.7294
Total Nurse Staff Hours Per Day, per resident: 5.56674
Weekend Nurse Staff Hours: 4.95427, Weekend RN Staff Hours: 0.6846
PT Staff Hours Per Day, per resident: 0.0857
Nurse Staff Turnover: 64.1, Nurse Turnover Note:
RN Turnover: 53.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1988, Case Mix LPN Hours Per Day: 0.6636, Case Mix RN Hours Per Day: 0.3119
Adjusted Nurse Aide Hours Per Day, per resident: 2.62870, Adjusted LPN Hours Per Day: 2.0522, Adjusted RN Hours Per Day: 1.0677
Total Adjusted Nurse Hours Per Day, per resident: 5.52738
Adjusted Weekend Nurse Hours Per Day, per resident: 4.91923
Health Survey Dates and Scores: Cycle 1: 2023-07-11 (Score: 0), Cycle 2: 2021-05-19 (Score: 16), Cycle 3: 2019-03-15 (Score: 24)
Total Weighted Health Score: 9.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 13650.00, Payment Denials Number: 0, Total Penalties Number: 3
Location and GPS: 299 WAREHAM STREET,MIDDLEBORO,MA,02346 (41.8698, -70.873)
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: Ensure services provided by the nursing facility meet professional standards of quality.
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 2021-06-14
Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such 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 2021-06-14
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-14
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-10-13
Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 2019-04-19
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2019-04-19
Type: Health, Deficiency: Respond appropriately to all alleged violations.
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 2019-04-19
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 2019-04-19
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:
Type: Fire Safety, Tag: 0004, Version: New
Description: Develop and maintain an Emergency Preparedness Program (EP).
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-09-30
Type: Fire Safety, Tag: 0226, Version: New
Description: Have horizontal exits used in accordance with safety requirements.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-08-31
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-07-28
Type: Fire Safety, Tag: 0907, Version: New
Description: Ensure medical gas and vacuum systems have documented maintenance programs.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-09-30
Type: Fire Safety, Tag: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2019-08-08