Keystone Center is a medium-sized nursing home facility located in Leominster, Massachusetts. With a capacity of 106 beds, the facility operates under for-profit, LLC ownership and participates in both Medicare and Medicaid. Keystone Center is not affiliated with a continuing care retirement community, and thus focuses its services on short-term rehabilitation and long-term care, rather than extended continuum-of-care models. The facility specializes in providing both post-acute rehabilitation for individuals recovering after hospital stays as well as more permanent long-term care for those requiring ongoing assistance with daily living needs.
Short-term rehabilitation services at Keystone Center are designed for patients who are transitioning from hospital care after illnesses or injuries such as strokes, heart attacks, infections, or accidental injury. Approximately 52.7% of residents who receive short-term rehabilitation at this facility are able to return home after discharge. The rate of residents experiencing falls resulting in major injury is 2.0%, and 7.0% of short-term stays result in infections that require hospitalization. Emergency room visits for short-term residents stand at 7.9%. To provide adequate care, residents receive on average 3 hours and 10 minutes of nurse staffing each day, with consistent staffing levels on weekends.
For long-term care residents, Keystone Center offers support with daily medical and non-medical needs such as medication administration, dressing, eating, and personal hygiene. A high percentage of long-term residents, 78.0%, maintain the ability to perform self-care and activities independently, while 95.5% receive influenza vaccinations annually. The facility is noted for providing consistent nurse staffing on weekends comparable to weekday coverage. The rate of emergency room visits for all long-term residents is reported at 1.2 per 1,000 patient days, indicating close supervision and access to prompt medical care as needed.
Keystone Center is subject to regular health, fire, and safety inspections carried out by state and federal agencies. In recent inspection cycles, several areas required attention, including the timely development of individualized care plans, safeguarding resident-identifiable information, communication regarding changes in resident conditions with families and physicians, and the implementation of protocols to prevent abuse, neglect, and theft. There were also instances of inadequate assessments during new admissions and annual reviews, and the need for prompt creation and execution of immediate care plans. Areas related to the maintenance of safety standards, such as inspecting bed frames, mattresses, and bed rails, were also identified for improvement. Despite these findings, most instances were considered to have low potential for harm and affected either few or some residents.
Staff at Keystone Center strive to provide trauma-informed and culturally competent care, including specialized treatment services for residents diagnosed with mental disorders, psychosocial adjustment difficulties, or a history of trauma and PTSD. The facility adheres to vaccination protocols and seeks to prevent medication errors by maintaining professional standards in medication oversight. In addition, the facility maintains a Quality Assessment and Assurance group, required to meet at least quarterly and monitored for compliance with staffing and procedural standards.
Medicare generally covers short-term rehabilitation at Keystone Center for up to 100 days after a qualifying hospital stay, after initial deductible requirements are met, while extended long-term care may be financed through Medicaid under specific financial and health criteria. The facility's approach centers on fostering independence among residents, supporting quality-of-life, and safeguarding health through continual staffing, supervision, and resident engagement. Residents also benefit from a safe and supportive environment with regular oversight, the goal of minimizing accident hazards, and ensuring swift response to health concerns.