T & N Reliable Nursing Care, Llc Ma

What this costs you

If a doctor certifies the patient is homebound and needs skilled nursing or therapy, Medicare pays this agency directly and the patient pays nothing for the covered visits. Equipment is billed separately at 20% of the Medicare-approved amount. Home health does not pay for round-the-clock care, meals, or help with bathing and dressing on its own, those are the costs families are most often surprised by.

• Patient experience

  6.25 / 30

  What patients said about the agency afterwards, in the CMS-run HHCAHPS survey, the only federal home health measure that comes from patients rather than from the agency.

  • 69% of patients would definitely recommend it (national median 80%)

• Staying home

  16.25 / 25

  Whether patients stayed living in the community afterwards, and how often they went back to hospital for something home health should have caught.

  • No discharge-to-community rate published, scored just under the national average rather than guessed at
  • No preventable-readmission rate published, scored just under the national average rather than guessed at

• Recovery at home

  20 / 20

  How much of the expected improvement in dressing, bathing and moving around patients actually reached by the time care ended, risk-adjusted by CMS for how they arrived.

  • 87 discharge function score (national median 67.3)

• Care transitions

  7.75 / 15

  Whether the patient and their next doctor were handed an accurate, current medicine list when home health ended, the handover where things get missed.

  • 88% of patients were given their current medicine list when care ended (national median 96%)
  • 99% of records reached the next doctor or facility (national median 88%)

• Starting on time

  5 / 10

  How often care actually began within the window the doctor ordered, or within two days of leaving hospital.

  • 95.5% of patients had care started on time (national median 97.8%)

Did it work?

Home health is judged on whether the patient stayed home, stayed out of hospital and got more capable. These are this agency's numbers against the national median.

From the HHCAHPS survey, which CMS sends to the agency's own patients after care. These are not online reviews and the agency cannot select who is asked. Percentages are the share who gave the best possible answer. 11% of those asked replied.

Services offered

• ✓ Skilled nursing care
• ✓ Physical therapy
• ✓ Occupational therapy
• ✓ Speech pathology
• ✓ Home health aide
• ✓ Medical social services

Improvement measures

The agency's own assessment of how many patients got better. We publish these because families ask about them, and we leave them out of the grade because none of them separated agencies when we tested them against what patients themselves reported.

• Breathing improved 70%
• Got better at taking their medicines correctly 49%

Published, and deliberately not graded on

Before weighting anything we checked which direction each CMS measure actually runs, by comparing it against the patient survey across every agency in the country. These did not survive that check. They are here because they are part of the public record, and out of the grade because scoring them would make our letters worse, not better.

Falls with major injury

0.00%

Also runs backwards, in every size band. It appears to measure whether an agency records adverse events rather than whether they happen. Left out of the grade.

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Questions families ask about T & N Reliable Nursing Care, Llc Ma

Does Medicare pay for T & N Reliable Nursing Care, Llc Ma?

Yes, if a doctor certifies the patient is homebound and needs intermittent skilled nursing or therapy. Medicare then pays T & N Reliable Nursing Care, Llc Ma directly for covered home health visits and the patient pays nothing for them. Durable medical equipment is billed separately at 20% of the approved amount. Home health does not cover round-the-clock care, meals, or help with bathing and dressing on its own.

What do patients say about T & N Reliable Nursing Care, Llc Ma?

In the CMS-run HHCAHPS survey, results were published and 69% of patients said they would definitely recommend it, from 29 completed surveys. The survey is sent by CMS, not by the agency, and the agency cannot choose who is asked.

How is T & N Reliable Nursing Care, Llc Ma graded?

ElderGrade grades it C, average, scoring 55 out of 100 on the federal home health record: what patients themselves reported, whether they went on living in the community and stayed out of hospital, how much function they regained, whether the handover to their next doctor was done, and whether care started on time. We take no payment from agencies.

What services does T & N Reliable Nursing Care, Llc Ma provide?

CMS records this agency as offering skilled nursing care, physical therapy, occupational therapy, speech pathology, home health aide and medical social services. Which of them you actually receive depends on what the doctor writes into the plan of care.