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Epsom Healthcare Center
901 SUNCOOK VALLEY HIGHWAY
Epsom, NH 3234
(603) 736-4772
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 108 |
| Number of Residents: | 88 |
| Percent of Occupied Beds: | 81% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080708 | Health | Resident Rights Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20080822 |
| 20080708 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080822 |
| 20080814 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080930 |
| 20081208 | Health | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Isolated | Minimal harm or potential for actual harm | 20081209 |
| 20090507 | Health | Administration Deficiencies | Choose a doctor to be the medical director. | Pattern | Minimal harm or potential for actual harm | 20090621 |
| 20090507 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20090621 |
| 20090507 | Health | Resident Assessment Deficiencies | Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | Isolated | Minimal harm or potential for actual harm | 20090621 |
| 20090507 | Health | Resident Assessment Deficiencies | Make sure that all needed doctor visits are made personally by a doctor, as required. | Isolated | Minimal harm or potential for actual harm | 20090621 |
| 20090507 | Health | Resident Rights Deficiencies | Give the resident's legal representative the same rights as the resident. | Isolated | Minimal harm or potential for actual harm | 20090621 |
| 20090507 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090621 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 83 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 74 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 5 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 19 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 34 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 2 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 10 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 11 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 57 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 50 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 6 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 88 |
| # RN Hours per Resident: | 0.67 |
| # LPN Hours per Resident: | 0.6 |
| # CNA Hours per Resident: | 2.48 |
| Total Staff Hours per Resident: | 1.27 |
