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Home > Nursing Homes USA > MID-ATLANTIC OF CHAPEL HILL, LLC

MID-ATLANTIC OF CHAPEL HILL, LLC

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MID-ATLANTIC OF CHAPEL HILL, LLC VS
All other Nursing Homes USA
General
City RANDALLSTOWN   vs 0% Nursing Homes USA have RANDALLSTOWN
State attribute explanation MD   vs 1.5% Nursing Homes USA have MD
Street 4511 ROBOSSON ROAD  
Zip Code 21133  
Phone 4109222443  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower 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
63  (45.94 lower than average)
vs
108.94

Total Number of Residents
63  (28.25 lower than average)
vs
91.25

Percent of Occupied Beds
100 % (16.35 % higher than average)
vs
83.65 %

Health Survey Date 6/3/2011  
Fire Survey Date 5/24/2011  
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? 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
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
61  (30.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.58  (0.19 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.72  (0.12 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.3  (0.29 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public.
survey Date: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #3 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: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #4 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/03/2011
date Of Correction: 07/08/2011 

Deficiency #6 Scope: Many
level Of Harm: 1
deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas.
survey Date: 06/11/2010
date Of Correction: 07/30/2010 

Deficiency #7 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/11/2010
date Of Correction: 07/30/2010 

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: 06/03/2011
date Of Correction: 07/08/2011 

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: 04/29/2011
date Of Correction: 05/31/2011 

Quality Care Deficiencies
Deficiency #1 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: 06/03/2011
date Of Correction: 07/08/2011 

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: 06/03/2011
date Of Correction: 07/08/2011 

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: 06/03/2011
date Of Correction: 07/08/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/11/2010
date Of Correction: 06/30/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 06/03/2011
date Of Correction: 07/08/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/16/2012
date Of Correction: 07/12/2012 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/11/2010
date Of Correction: 06/30/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
41 % (15.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher 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
13.2 % (0.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.8 % (7.03 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (13.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
19 % (5.54 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
16.7 % (8.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.7 % (10.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.7 % (5.76 % 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
4.7 % (10.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.3 % (4.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
0.8 % (13.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.3 % (0.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.1 % (6.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60 % (16.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (7.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.9-24 % (7.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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
4.2 % (6.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
7.2 % (17.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 % (13.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
13 % (61.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
6.3 % (11.04 % lower than average)
vs
17.34 %



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