| General |
| City |
| Annapolis |
Forest Hill |
| State attribute explanation |
| Md |
Md |
| Street |
| 900 Van Buren Street |
109 Forest Valley Drive |
| Zip Code |
| 21,403 |
21,050 |
| Phone |
| 4,102,678,653 |
4,108,380,101 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 87 |
156 |
|
Total Number of Residents |
| 76 |
141 |
|
Percent of Occupied Beds |
| 87 % |
90 % |
| Health Survey Date |
| 10/28/2011 |
6/2/2011 |
| Fire Survey Date |
| 12/29/2011 |
7/21/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 16 |
35 |
|
| Staff Information |
| Number of Residents |
| 76 |
141 |
| Number of RN Hours Per Resident Per Day |
| 0.98 |
0.89 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.58 |
0.76 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.56 |
1.64 |
| Number of CNA Hours Per Resident Per Day |
| 0.23 |
0.15 |
| Number Therapy Hours Per Resident Per Day |
| 0.23 |
0.15 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/28/2009date Of Correction: 01/05/2010 |
Scope: Manylevel Of Harm: 1deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both.survey Date: 11/22/2011date Of Correction: 01/23/2012 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 11/22/2011date Of Correction: 01/23/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/07/2011date Of Correction: 11/14/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/26/2010date Of Correction: 03/11/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 04/05/2011date Of Correction: 04/30/2011 |
Scope: Somelevel Of Harm: 2deficiency: 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: 11/15/2011date Of Correction: 12/28/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 10/14/2010date Of Correction: 11/15/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 09/23/2010date Of Correction: 10/28/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 11/15/2010date Of Correction: 12/06/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 03/11/2010date Of Correction: 03/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 03/22/2011date Of Correction: 04/15/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 09/03/2009date Of Correction: 09/09/2009 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 03/12/2010date Of Correction: 04/12/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 02/26/2010date Of Correction: 03/11/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 09/28/2009date Of Correction: 11/09/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 10/28/2011date Of Correction: 11/07/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/15/2011date Of Correction: 12/28/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/28/2011date Of Correction: 11/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/28/2011date Of Correction: 11/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 04/05/2011date Of Correction: 04/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/23/2010date Of Correction: 10/28/2010 |
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/11/2010date Of Correction: 03/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/12/2010date Of Correction: 04/12/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/12/2010date Of Correction: 04/12/2010 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 09/28/2009date Of Correction: 11/09/2009 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/28/2009date Of Correction: 11/09/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/28/2009date Of Correction: 11/09/2009 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/25/2009date Of Correction: 09/07/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 10/28/2011date Of Correction: 11/07/2011 |
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 11/15/2011date Of Correction: 12/28/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/28/2009date Of Correction: 11/09/2009 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/05/2011date Of Correction: 04/30/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/11/2010date Of Correction: 03/10/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/21/2009date Of Correction: 05/15/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 09/28/2009date Of Correction: 11/09/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Hire A Qualified Dietician.survey Date: 03/11/2010date Of Correction: 03/10/2010 |
Scope: Manylevel Of Harm: 1deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 11/22/2011date Of Correction: 01/23/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Food In A Way That Meets A Resident's Needs.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 06/02/2011date Of Correction: 07/15/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.1 % |
12.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
2.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.3 % |
14.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
10.8 % |
| Percent of long-stay residents who lose too much weight |
| 12.5 % |
0.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
74.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.1 % |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
8.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 35.7 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 5.4 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.2 % |
42.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.6 % |
97.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.6 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24 % |
12.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
2.20 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.8 % |
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9 % |
12.4-2413.6-24 |
| Percent of long-stay residents who lose too much weight |
| 14.1 % |
2.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26.4 % |
77.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.6:1 |
5.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.3 % |
9.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 39.6 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 4.4 % |
3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.4 % |
38.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.7 % |
58.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.1 % |
99.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.3 % |
9.4 / 10.4 |