| General |
| City |
| Frederick |
Towson |
| State attribute explanation |
| Md |
Md |
| Street |
| 700 Toll House Avenue |
7001 Charles Street |
| Zip Code |
| 21,701 |
21,204 |
| Phone |
| 3,016,635,181 |
4,108,219,600 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 143 |
232 |
|
Total Number of Residents |
| 90 |
168 |
|
Percent of Occupied Beds |
| 63 % |
72 % |
| Health Survey Date |
| 9/16/2011 |
9/23/2011 |
| Fire Survey Date |
| 7/8/2011 |
9/21/2011 |
| 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 |
36 |
|
| Staff Information |
| Number of Residents |
| 90 |
168 |
| Number of RN Hours Per Resident Per Day |
| 0.88 |
0.57 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.84 |
0.24 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
0.81 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.16 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.16 |
| 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 Housekeeping And Maintenance Services.survey Date: 07/13/2011date Of Correction: 08/26/2011 |
| 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: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 02/24/2011date Of Correction: 04/13/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Manylevel Of Harm: 1deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 01/15/2010date Of Correction: Not Available |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| 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: 10/14/2010date Of Correction: 11/23/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #3 |
|
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: 05/22/2009date Of Correction: 08/05/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 02/24/2011date Of Correction: 04/13/2011 |
| 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: 02/24/2011date Of Correction: 04/13/2011 |
| 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: 04/27/2010date Of Correction: 05/26/2010 |
| 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: 03/17/2010 |
| 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: 01/15/2010date Of Correction: Not Available |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 01/15/2010date Of Correction: Not Available |
| Deficiency #7 |
|
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: 07/30/2009date Of Correction: 08/09/2009 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| 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: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/24/2011date Of Correction: 04/13/2011 |
| 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: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/14/2010date Of Correction: 01/24/2011 |
| 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: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/14/2010date Of Correction: 11/23/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/27/2010date Of Correction: 05/26/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/27/2010date Of Correction: 05/26/2010 |
| Deficiency #6 |
|
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: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/22/2009date Of Correction: 08/05/2009 |
| 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: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 02/24/2011date Of Correction: 04/13/2011 |
| 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 |
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: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| 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: 08/31/2010date Of Correction: 10/21/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/24/2011date Of Correction: 04/13/2011 |
| 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: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/14/2010date Of Correction: 11/23/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/27/2010date Of Correction: 06/11/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 07/30/2009date Of Correction: 08/09/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| 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: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 07/03/2009date Of Correction: 08/05/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
29 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.6 % |
| 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 % |
3.1 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
10.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
60 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
4.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.6 % |
2.3 % |
| 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 % |
18.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.9 % |
71.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.3 % |
72.5 % |
| 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 % |
1.50 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
22.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.3 % |
1.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.4 % |
4 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.3 % |
55.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.9 % |
1.3 % |
| 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 % |
1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
13 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.9 % |
49.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84 % |
65 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 33.1 % |
5.6:1 |