| St Patrick's Manor | |
| 863 Central Street, Framingham, Massachusetts 01701 | |
| (857) 345-0297 | |
| Name | St Patrick's Manor |
|---|---|
| Location | 863 Central Street, Framingham, Massachusetts |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 333 |
| Occupancy Rate | 78.65% |
| Medicare ID (CCN) | 225430 |
| Legal Business Name | St. Patrick's Manor, Inc |
| Ownership Type | For Profit - Corporation |
| Chain | Carmelite Sisters for the Aged & Infirm (9 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1235123894 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | St. Patrick's Manor, Inc |
| Address | 863 Central St, Framingham, MA 01701 |
| Phone Number | 508-879-8000 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.09 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.83 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.85 | 0.86 |
| Nurse aide hours per resident per day | 2.41 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.69 | 3.42 |
| RN hours per resident per day on the weekend | 0.59 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 30.1% | 45.8% |
| Registered nurse turnover | 16.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 3 |
| Total Amount of Fines in Dollars | $33,157 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 4, 2025 |
| Feb 25, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 4, 2025 |
| Jul 24, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Jul 24, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Apr 30, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by May 24, 2024 |
| Apr 30, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 24, 2024 |
| Dec 5, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 11, 2024 |
| Dec 5, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 11, 2024 |
| Dec 5, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 11, 2024 |
| Aug 25, 2023 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Aug 28, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.22 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.23 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.24 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.39 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.04 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.93 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.08 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.48 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.48 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.06 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.38 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.58 | 15.38 |
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