MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT
Ratings & Quality
Staffing Details
| RN Hours per Resident per Day | 0.40 |
|---|---|
| Total Nurse Hours per Resident per Day | 3.28 |
| Number of Certified Beds | 123 |
| Number of Residents | 113 |
Inspection Deficiencies (86)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2025-02-25
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2025-02-25
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction date: 2025-02-13
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction date: 2025-02-13
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction date: 2025-02-13
Provide and implement an infection prevention and control program.
Correction date: 2025-02-13
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2025-01-07
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2025-01-07
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2025-01-07
Provide safe, appropriate pain management for a resident who requires such services.
Correction date: 2025-01-07
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction date: 2025-01-07
Provide care or services that was trauma informed and/or culturally competent.
Correction date: 2025-01-07
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction date: 2025-01-07
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction date: 2025-01-07
Observe each nurse aide's job performance and give regular training.
Correction date: 2025-01-07
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction date: 2025-01-07
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2025-01-07
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.
Correction date: 2025-01-07
Ensure medication error rates are not 5 percent or greater.
Correction date: 2025-01-07
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.
Correction date: 2025-01-07
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Correction date: 2025-01-07
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction date: 2025-01-07
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2025-01-07
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction date: 2025-01-07
Put firmly secured handrails on each side of hallways.
Correction date: 2025-01-07
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction date: 2025-01-07
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2024-08-06
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2024-08-06
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2024-08-06
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction date: 2024-02-13
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2023-09-22
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2023-09-22
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2023-09-22
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2023-09-22
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction date: 2023-09-15
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction date: 2023-09-15
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2023-09-15
Assess the resident when there is a significant change in condition
Correction date: 2023-09-15
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction date: 2023-09-15
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2023-09-15
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2023-09-15
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2023-09-15
Assist a resident in gaining access to vision and hearing services.
Correction date: 2023-09-15
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2023-09-15
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction date: 2023-09-15
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.
Correction date: 2023-09-15
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction date: 2023-09-15
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2023-09-15
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction date: 2023-09-15
Provide care or services that was trauma informed and/or culturally competent.
Correction date: 2023-09-15
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction date: 2023-09-15
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.
Correction date: 2023-09-15
Ensure medication error rates are not 5 percent or greater.
Correction date: 2023-09-15
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.
Correction date: 2023-09-15
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2023-09-15
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2023-09-15
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction date: 2023-09-15
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction date: 2023-09-15
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2023-04-27
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2022-08-18
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2022-08-18
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2022-08-18
Respond appropriately to all alleged violations.
Correction date: 2022-08-18
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2022-08-08
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2022-08-08
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2022-08-08
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2022-08-08
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2022-08-08
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2022-08-08
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction date: 2022-08-08
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction date: 2022-08-08
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2022-08-08
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.
Correction date: 2022-08-08
Ensure that residents are free from significant medication errors.
Correction date: 2022-08-08
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.
Correction date: 2022-08-08
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction date: 2022-08-08
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2022-08-08
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2022-08-08
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction date: 2022-08-18
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction date: 2022-08-18
Provide and implement an infection prevention and control program.
Correction date: 2022-08-08
Report COVID19 data to residents and families.
Correction date: 2022-08-08
Perform COVID19 testing on residents and staff.
Correction date: 2022-08-08
Ensure staff are vaccinated for COVID-19
Correction date: 2022-08-18
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Correction date: 2022-08-08
Ensure resident rooms meet each resident's needs.
Correction date: 2022-08-08
Penalties & Fines
| Date | Type | Fine Amount |
|---|---|---|
| 2025-01-29 | Fine | $134,285 |
| 2023-09-05 | Fine | $6,293 |
| 2023-08-10 | Fine | $50,573 |
Facility Information
- Address 115 HOLLISTON STREET, Medway, MA 02053
- Phone 5085336634
- Type Medicare and Medicaid
- Ownership For profit - Individual
About MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT
MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT is a medicare and medicaid certified nursing home in Medway, Massachusetts. The facility has 123 certified beds and currently houses 113 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 86 inspection deficiencies on record. Total fines assessed: $191,151 across 3 penalties. Registered nurse hours are 0.40 per resident per day.