APEX HEALTH OF SILVER SPRING

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General
City	SILVER SPRING	vs	0.1% Nursing Homes USA have SILVER SPRING
State attribute explanation	MD	vs	1.5% Nursing Homes USA have MD	compare MD Nursing Homes USA
Street	2700 BARKER STREET
Zip Code	20910
Phone	3015650300
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (2)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	138 (29.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (138)
Total Number of Residents	92 (0.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (92)
Percent of Occupied Beds	67 % (16.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (67) %
Health Survey Date	11/10/2011
Fire Survey Date	11/21/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Individual	vs	3.5% Nursing Homes USA have For profit - Individual	compare For profit - Individual Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	No	vs	45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils	Both	vs	29.8% Nursing Homes USA have Both
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	Yes	vs	31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	39 (31.52 higher than average)	vs	7.48

Staff Information
Number of Residents	92 (0.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.71 (0.06 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.74 (0.9 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	2.45 (0.86 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.12 (5.37 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.12 (0.02 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Provide At Least One Room Set Aside To Use As A Resident Dining Room And For Activities, That Is A Good Size, With Good Lighting, Air Flow And Furniture. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #3		Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/09/2009 date Of Correction: 09/17/2009

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 06/08/2010 date Of Correction: 07/21/2010
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 10/09/2009 date Of Correction: 11/25/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That Private Space Is Available In The Nursing Home For Resident Groups Or Residents' Families To Meet. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 10/09/2009 date Of Correction: 11/25/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 05/03/2012 date Of Correction: 07/03/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 05/03/2012 date Of Correction: 07/03/2012
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #9		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #10		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #11		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/08/2010 date Of Correction: 07/21/2010
Deficiency #12		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/09/2009 date Of Correction: 11/25/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 05/03/2012 date Of Correction: 07/03/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #6		Scope: Some level Of Harm: 1 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 10/09/2009 date Of Correction: 11/25/2009

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #5		Scope: Some level Of Harm: 1 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #6		Scope: Some level Of Harm: 1 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 09/17/2010 date Of Correction: 10/29/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 10/09/2009 date Of Correction: 11/25/2009
Deficiency #8		Scope: Some level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 10/09/2009 date Of Correction: 11/25/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 11/10/2011 date Of Correction: 01/02/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 09/17/2010 date Of Correction: 10/29/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	18.7 % (6.39 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.6 % (31.35 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	75.2 % (58.54 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	6.8 % (5.78 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	11.4 % (0.43 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.7 % (10.93 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	10.1:1 %
Percent of long-stay residents who have depressive symptoms	1.2 % (27.18 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	75.2 % (31.52 % higher than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	6.8 % (18.22 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	65.2 % (19.44 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	73 % (10.94 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	12.1:1 %
Percent of long-stay residents experiencing one or more falls with major injury	3.6 % (11.92 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	14.9-28 % (10.49 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	3.5 % (20.2 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	75.2 % (61.1 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	9.7 % (0.48 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	6.5 % (2 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	13.9 / 15.3 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.9 % (5.75 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	8.8 % (0.78 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	0.7 % (19.16 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	75.2 % (36.67 % higher than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	2.9 % (7.83 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	5.2 % (19.56 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	78.7 % (2.74 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	84.5 % (9.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	8.6:1 %