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Home > Nursing Homes USA > FAYETTE HEALTH AND REHABILITATION CENTER

FAYETTE HEALTH AND REHABILITATION CENTER

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FAYETTE HEALTH AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City BALTIMORE   vs 0.3% Nursing Homes USA have BALTIMORE
State attribute explanation MD   vs 1.5% Nursing Homes USA have MD
Street 1217 WEST FAYETTE STREET  
Zip Code 21223  
Phone 4107273947  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
198  (89.06 higher than average)
vs
108.94

Total Number of Residents
126  (34.75 higher than average)
vs
91.25

Percent of Occupied Beds
64 % (19.65 % lower than average)
vs
83.65 %

Health Survey Date 4/26/2012  
Fire Survey Date 6/6/2012  
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
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA 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
65  (57.52 higher than average)
vs
7.48

Staff Information
Number of Residents
126  (34.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.62  (0.15 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.18  (0.34 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.8  (0.21 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #3 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/01/2012
date Of Correction: 04/15/2012 

Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/06/2012
date Of Correction: 02/17/2012 

Deficiency #6 Scope: Many
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/06/2012
date Of Correction: 02/17/2012 

Deficiency #7 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 01/06/2012
date Of Correction: 02/17/2012 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #11 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 01/04/2011
date Of Correction: 01/31/2011 

Deficiency #13 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #14 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #15 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #17 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

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: 04/01/2011
date Of Correction: 04/29/2011 

Deficiency #2 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: 01/04/2011
date Of Correction: 01/31/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #5 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: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #7 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Or Obtain Dental Services For Each Resident.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 04/01/2011
date Of Correction: 04/29/2011 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/04/2011
date Of Correction: 01/31/2011 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #9 Scope: Few
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: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
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: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 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: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #3 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: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #4 Scope: Few
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: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #5 Scope: Few
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: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #6 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: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/15/2011
date Of Correction: 10/12/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 02/25/2010
date Of Correction: 05/03/2010 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

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: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/01/2012
date Of Correction: 04/15/2012 

Deficiency #4 Scope: Few
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: 03/01/2012
date Of Correction: 04/15/2012 

Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/06/2012
date Of Correction: 02/17/2012 

Deficiency #6 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: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #8 Scope: Few
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: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 02/03/2010
date Of Correction: 04/11/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/26/2012
date Of Correction: 06/10/2012 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 01/06/2012
date Of Correction: 02/17/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/20/2011
date Of Correction: 06/10/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.8 % (3.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.4 % (28.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.7 % (14.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10.9 % (1.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.6 % (7.23 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.1 % (17.44 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (11.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.4 % (22.98 % 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
22.7 (72.9) % (2.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
47.9 % (36.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
41.9 % (42.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.3 % (6.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.2 % (19.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.3 % (11.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8 % (1.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.20 % (6.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
29.9 % (13.48 % lower than average)
vs
43.38 %

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
0.6 % (8.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.5 % (14.36 % 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
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25.6 (78.1) % (0.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
42.9 % (38.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
38 % (36.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 14.7:1 % 


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