| General |
| City |
| Bethesda |
Walkersville |
| State attribute explanation |
| Md |
Md |
| Street |
| 5721 Grosvenor Lane |
56 West Frederick Street |
| Zip Code |
| 20,814 |
21,793 |
| Phone |
| 3,015,301,600 |
3,018,984,300 |
|
Overall Star Rating |
| 4 |
5 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 200 |
124 |
|
Total Number of Residents |
| 169 |
107 |
|
Percent of Occupied Beds |
| 85 % |
86 % |
| Health Survey Date |
| 5/8/2012 |
12/1/2011 |
| Fire Survey Date |
| 5/8/2012 |
1/3/2012 |
| 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? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
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 |
| 24 |
9 |
|
| Staff Information |
| Number of Residents |
| 169 |
107 |
| Number of RN Hours Per Resident Per Day |
| 0.63 |
0.84 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.28 |
0.96 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.91 |
1.8 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.17 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.17 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/12/2010date Of Correction: 06/10/2010 |
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 11/14/2011date Of Correction: 11/16/2011 |
| 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: 01/17/2012date Of Correction: 03/02/2012 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 08/27/2009date Of Correction: 09/24/2009 |
| 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: 04/14/2011date Of Correction: 04/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 08/27/2009date Of Correction: 09/24/2009 |
| 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: 04/12/2010date Of Correction: 06/10/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/10/2012date Of Correction: 03/15/2012 |
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: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/14/2011date Of Correction: 04/15/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/12/2010date Of Correction: 06/10/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/12/2010date Of Correction: 06/10/2010 |
|
| Deficiency #6 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/12/2010date Of Correction: 06/10/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| 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: 01/17/2012date Of Correction: 03/02/2012 |
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: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 1deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #3 |
| 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: 04/14/2011date Of Correction: 04/15/2011 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
|
| Deficiency #5 |
| 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: 04/12/2010date Of Correction: 06/10/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 04/14/2011date Of Correction: 04/15/2011 |
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: 12/01/2011date Of Correction: 02/01/2012 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 1deficiency: 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: 04/14/2011date Of Correction: 04/15/2011 |
|
| Deficiency #4 |
| Scope: Somelevel 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: 04/12/2010date Of Correction: 06/10/2010 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 1deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 08/10/2009date Of Correction: 09/29/2009 |
|
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/10/2009date Of Correction: 09/29/2009 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/14/2011date Of Correction: 04/15/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 16.7 % |
31.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6 % |
1.50 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.8:1 |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 3.5 % |
6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 54.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
6.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.5 % |
12.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.2 % |
95.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.5 % |
94.4 % |
| 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 |
| 2.1 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.6 % |
29.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.2 % |
4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.2 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
4.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.5 % |
63.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 6.5 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.7 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.4 % |
3.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.8 % |
8.6:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.9 % |
91.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.9 % |
87.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
15.9:1 |