John Scott House Nursing & Rehabilitation Center
233 Middle Street, Braintree MA 02184 · (781) 843-1860 · 94.27% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
With an address in Braintree, Massachusetts, John Scott House Nursing & Rehabilitation Center is one of four available nursing homes in this area. Featuring an overall grade of A+, this facility is among the best nursing homes we looked at. We were so impressed with this nursing home that we ranked it in the top ten percent of all facilities nationally. Keep reading to find this facility's category ratings, which also impressed us. You really can't do much better than a straight A report card.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 138 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the many reasons this turned out to be a quality nursing home is that it received an A+ inspection grade. This is simply as good as it gets in this critical category. Inspection ratings are based on several items found on the a nursing home's recent inspection reports. Nursing homes that score well in this category typically have very few deficiencies on their reports. Most importantly, these facilities should not have any severe deficiencies which are associated with risks to patient safety. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
We also wanted to note the fact that this facility excelled in our short-term care category. We gave them an exemplary score of A+ in this area. Our short-term care ratings are based in part on a facility's quantity of highly-skilled highly skilled professionals. This means a broad spectrum of nursing services, spanning from registered nurses to physical and speech therapists, as well as other types of therapy. One reason for this facility's strong grade in this area is it provides more care from registered nurses to its residents than the typical facility. The final item we looked at in this category is the number of patients who who were able to eventually return home from the facility. It fared as well as just about any nursing home in Massachusetts with 65.8 percent of its residents returning home. Unfortunately, at most nursing homes, less than half of their short-term residents return home.
Nurse Quality
Another reason we rated this nursing home so highly is that it received an A+ nursing grade. This is simply as good as it gets in this category. Our nursing grade assesses the facility's level of nurse staffing. We look at both the levels of licensure of those nurses and the quantity of hours spent with patients. This nursing home provided 3.8 hours of nursing care per patient each day. At least one quarter of this care was provided by registered nurses, which are skilled nurses. This is a high ratio of skilled nursing. In determining our grades, we apply more weight to care provided by registered nurses. Finally, we also assessed several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility Massachusetts in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as by having a system of moving a resident more often.
Long-term Care Quality
Turning to our last area, this facility received a strong long-term care score. We awarded it an A- in this area, rounding out a straight A profile. For prospective patients seeking a permanent residence rather than skilled nursing, long-term care grades are a key measure. After assessing the volume of care provided by nurses and other staff, we then looked at the facility's vaccination record. This facility vaccinated 90.274315 percent of its residents for pneumonia, which happens to be a bit below what we anticipated but still a respectable figure. While its vaccination rate was a bit lower than we like to see, at least this nursing home was able to limit hospitalizations. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is an impressively low figure.
Overall Rating Over Time
Compared to national and state averages across all facilities.
John Scott House Nursing & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This datapoint tells you the percent of long-term care patients who suffered from new or worsened pressure ulcers . We factor in this statistic in computing our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents who sustained a fall which resulted in major injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who sustained a urinary tract infection. These infections are sometimes associated with poor hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of residents prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many residents, it is important to make sure these medications are being used appropriately. In some cases, high levels of antipsychotic drug use may indicate that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of patients given antianxiety medications. Antianxiety medications are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term stay residents who are exhibiting depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percent of long-term patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percent of long-term residents who needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and using the bathroom. Some experts would argue that this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percentage of long-term residents who remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of hospitalizations per thousand days of care. There is typically a correlation between having fewer hospitalizations and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
Measures the number of times residents are rehospitalized per 1,000 days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This datapoint is a measure of the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term stay patients that saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with activities of daily living often correlates with higher quality rehabilitation.
Percentage of Resident
Higher is Better