| General |
| City |
| Frederick |
Adelphi |
| State attribute explanation |
| Md |
Md |
| Street |
| 700 Toll House Avenue |
1801 Metzerott Road |
| Zip Code |
| 21,701 |
20,783 |
| Phone |
| 3,016,635,181 |
3,014,340,500 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 4 |
2 |
|
Number of Certified Beds |
| 143 |
218 |
|
Total Number of Residents |
| 90 |
118 |
|
Percent of Occupied Beds |
| 63 % |
54 % |
| Health Survey Date |
| 9/16/2011 |
9/30/2011 |
| Fire Survey Date |
| 7/8/2011 |
7/18/2011 |
| Sprinkler Status |
| Partially 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 |
| Both |
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 |
| 13 |
14 |
|
| Staff Information |
| Number of Residents |
| 90 |
118 |
| Number of RN Hours Per Resident Per Day |
| 0.88 |
0.61 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.84 |
1.42 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
2.03 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.17 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.17 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas.survey Date: 08/14/2009date Of Correction: 10/14/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide At Least One Room Set Aside To Use As A Resident Dining Room And For Activities, That Is A Good Size, With Good Lighting, Air Flow And Furniture.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 08/14/2009date Of Correction: 10/14/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
|
| 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: 05/24/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 08/14/2009date Of Correction: 10/14/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 05/24/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 05/24/2012date Of Correction: 07/20/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 04/01/2009date Of Correction: 05/15/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/12/2011date Of Correction: 08/26/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.survey Date: 01/11/2010date Of Correction: 02/01/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/12/2011date Of Correction: 08/26/2011 |
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: 08/14/2009date Of Correction: 10/14/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/17/2009date Of Correction: 05/31/2009 |
| 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: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 08/14/2009date Of Correction: 10/14/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
|
| 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: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 01/11/2010date Of Correction: 02/01/2010 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 01/07/2010date Of Correction: 01/25/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.survey Date: 01/11/2010date Of Correction: 02/10/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/14/2009date Of Correction: 10/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
13.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.5 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
8.9 / 9.9 |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
10.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
80.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.6 % |
2.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
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 |
| 29.8 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.9 % |
99.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.3 % |
99.3 % |
| 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 |
| 6.4 % |
5.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
14.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.3 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.4 % |
7.9:1 |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.3 % |
80 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
1.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.9 % |
2.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
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 |
| 5.4 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
0.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.9 % |
97.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84 % |
99.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 33.1 % |
22.4:1 |