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BAY PATH AT DUXBURY NURSING & REHABILITATION CTR Inspection Report, Violations & Safety Grade (DUXBURY, Massachusetts)

308 KINGSTOWN WAY, DUXBURY, Massachusetts 02332

Phone: 7815855561

CMS Overall:5/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
110.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Plymouth
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMassachusetts AvgDifference
RN Hours per Resident per Day0.530.66-0.12
Total Nurse Hours per Resident per Day3.613.94-0.33
CMS Staffing Rating3/53.1/5-
Nursing Staff Turnover41.3%37.6%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2024-07-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-07-09Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2023-05-17Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E – Moderate Harm Potential
2023-05-17Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2023-05-17Miscellaneous DeficienciesProvide a written emergency evacuation plan.E – Moderate Harm Potential
2023-05-17Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2023-05-17Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2023-05-17Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-05-17Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-05-17Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2023-05-17Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2023-05-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-05-17Emergency Preparedness DeficienciesImplement emergency and standby power systems.C – Minimal Harm Potential
2023-05-17Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.C – Minimal Harm Potential
2023-05-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-05-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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