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LORIEN MAYS CHAPEL

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LORIEN MAYS CHAPEL VS
All other Nursing Homes USA
General
City TIMONIUM   vs 0% Nursing Homes USA have TIMONIUM
State attribute explanation MD   vs 1.5% Nursing Homes USA have MD
Street 12230 ROUND WOOD ROAD  
Zip Code 21093  
Phone 4102520880  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
85  (23.94 lower than average)
vs
108.94

Total Number of Residents
76  (15.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 8/26/2011  
Fire Survey Date 6/8/2011  
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
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
15  (7.52 higher than average)
vs
7.48

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.82  (0.05 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.23  (0.39 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.05  (0.46 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 03/09/2010
date Of Correction: 04/23/2010 

Resident Rights Deficiencies
Deficiency #1 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: 08/19/2011
date Of Correction: 09/09/2011 

Deficiency #2 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: 07/22/2009
date Of Correction: 09/08/2009 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 06/29/2009
date Of Correction: 08/13/2009 

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: 06/29/2009
date Of Correction: 08/13/2009 

Quality Care Deficiencies
Deficiency #1 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: 10/25/2010 

Deficiency #2 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: 10/25/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/09/2010
date Of Correction: 04/23/2010 

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: 08/19/2011
date Of Correction: 09/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 09/17/2010
date Of Correction: 10/25/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 07/22/2009
date Of Correction: 09/08/2009 

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: 09/17/2010
date Of Correction: 10/25/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
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: 09/17/2010
date Of Correction: 10/25/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 07/22/2009
date Of Correction: 09/08/2009 

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: 09/17/2010
date Of Correction: 10/25/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.7 % (8.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (32.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7.7 % (8.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
14.6 % (2.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.20 % (9.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.1:1 % 
Percent of long-stay residents who have depressive symptoms 10.3:1 % 
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
26.5 % (1.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.4 % (11.76 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.6 % (10.66 % higher 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
1.7 % (13.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (21.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.8 % (5.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 14.7:1 % 
Percent of long-stay residents who lose too much weight 10.7:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.5 % (19.12 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 % (9.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
12.7 % (3.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
11.7 % (8.16 % 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
1.6 % (9.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.4 % (4.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.7 % (10.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.9 % (19.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
35.3 % (17.96 % higher than average)
vs
17.34 %



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