| General |
| City |
| Frederick |
Boonsboro |
| State attribute explanation |
| Md |
Md |
| Street |
| 700 Toll House Avenue |
141 South Main Street |
| Zip Code |
| 21,701 |
21,713 |
| Phone |
| 3,016,635,181 |
3,014,325,457 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
| Number of Certified Beds |
| 143 |
157 |
|
Total Number of Residents |
| 90 |
138 |
|
Percent of Occupied Beds |
| 63 % |
88 % |
| Health Survey Date |
| 9/16/2011 |
8/5/2011 |
| Fire Survey Date |
| 7/8/2011 |
6/27/2011 |
| 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 |
Both |
| 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 |
13 |
|
| Staff Information |
| Number of Residents |
| 90 |
138 |
| Number of RN Hours Per Resident Per Day |
| 0.88 |
0.52 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.84 |
0.82 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.72 |
1.34 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.11 |
| 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: 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: 05/21/2012date Of Correction: 07/17/2012 |
| 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 |
|
| 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: 01/24/2012date Of Correction: 02/29/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 05/21/2012date Of Correction: 07/17/2012 |
| 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: 05/21/2012date Of Correction: 07/17/2012 |
| 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 Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/30/2010date Of Correction: 09/09/2010 |
| 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 |
|
| 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: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 06/30/2010date Of Correction: 08/20/2010 |
| 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: Check And Assess Each Resident's Assessment At Least Every 3 Months.survey Date: 06/30/2010date Of Correction: 08/20/2010 |
| 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 |
|
| 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 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/21/2012date Of Correction: 07/17/2012 |
| 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: 01/24/2012date Of Correction: 02/29/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/30/2010date Of Correction: 08/20/2010 |
| Deficiency #4 |
|
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: 06/30/2010date Of Correction: 09/09/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 06/30/2010date Of Correction: 06/30/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 06/30/2010date Of Correction: 09/09/2010 |
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
17.6 % |
| 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 |
| 7.5 % |
14 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
5.2 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
1.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
26.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
4.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.6 % |
6 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
0.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.8 % |
8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.9 % |
77.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.3 % |
80 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.4 % |
1.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.4 % |
17.5 % |
| 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 |
| 8.3 % |
14.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.4 % |
7.1 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
2.20 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.3 % |
30.5 % |
| 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 % |
12 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
1.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.4 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
10.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.9 % |
81.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84 % |
81.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 33.1 % |
22.1 (71.8) |