The Commonwealth of Massachusetts
Executive Office of Health and Human Services
Department of Public Health
Division of Health Care Quality
99 Chauncy Street, 2nd Floor
Boston, MA 02111
617-753-8000
SURVEY PERFORMANCE TOOL
FOR NURSING HOMES

Facility
BEAR HILL NURSING CTR AT WAKEFIELD
ENTER 11 NORTH STREET
STONEHAM, MA 02180
TELEPHONE: (781) 438-8515

Standard Survey: 05/17/2007 ----- 02/09/2006 ----- 02/11/2005
Complaint Survey: No key deficiencies cited as a result of complaint surveys
Change of Ownership: No change of ownership in reported time period
Enforcement :
Jeopardy: No Jeopardy actions in reported time period
Substandard Care: No Substandard Quality of Care actions in reported time period
Termination: No Termination actions in reported time period
Denial of Payment:
Imposed: No Denial of Payment actions in reported time period
Admissions Freeze:
Imposed: No Admissions Freeze actions in reported time period

PERFORMANCE SUMMARY FOR EACH CATEGORY

ADMINISTRATION
RESULTS: Standard Survey-39 of 39 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 39\

This nursing facility met 39 out of the 39 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was 0. The facility’s score after adjustment for scope and severity is 39. The statewide average facility score is 35.

NURSING
RESULTS: Standard Survey - 33 of 33 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 33
This nursing facility met 33 out of the 33 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was 0. The facility’s score after adjustment for scope and severity is 33. The statewide average facility score is 30.

RESIDENT RIGHTS
RESULTS: Standard Survey - 27 of 27 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 27
This nursing facility met 27 out of the 27 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was 0. The facility’s score after adjustment for scope and severity is 27. The statewide average facility score is 26.

KITCHEN/FOOD SERVICES
RESULTS: Standard Survey -12 of 12 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 12
This nursing facility met 12 out of the 12 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was 0. The facility’s score after adjustment for scope and severity is 12. The statewide average facility score is 11.

ENVIRONMENT
RESULTS: Standard Survey -21 of 21 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 21
This nursing facility met 21 out of the 21 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was 0. The facility’s score after adjustment for scope and severity is 21. The statewide average facility score is 20.


OVERALL PERFORMANCE SUMMARY
RESULTS: Standard Survey -132 of 132 Met Complaint Investigation Deficiencies - 0
Score after adjustment for Scope and Severity: 132
This nursing facility met all 132 critical requirements in all five categories and had no deficiencies from complaint investigations for an adjusted score of 132. The statewide average nursing facility’s score was 122.

Bear Hill has an outstanding track record with the nursing facility industry's primary regulatory authority which is the Massachusetts Department of Public Health, Division of Health Care Quality.