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ARLINGTON WEST NURSING & REHAB CENTER

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ARLINGTON WEST NURSING & REHAB CENTER VS
Nursing Homes USA
General
City BALTIMORE   0.3% Nursing Homes USA have BALTIMORE
State attribute explanation MD   1.5% Nursing Homes USA have MD
Street 3939 PENHURST AVENUE  
Zip Code 21215  
Phone 4106649535  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
80 
108.94
Total Number of Residents
73 
91.25
Percent of Occupied Beds
91 %
83.65 %
Health Survey Date 4/12/2012  
Fire Survey Date 5/18/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
25 
7.48
Staff Information
Number of Residents
73 
91.38
Number of RN Hours Per Resident Per Day
0.6 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.96 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.56 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 02/17/2010
date Of Correction: 04/26/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 06/15/2010
date Of Correction: 06/24/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 02/17/2010
date Of Correction: 04/26/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/27/2010
date Of Correction: 10/28/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 08/25/2010
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 04/12/2011
date Of Correction: 04/12/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 08/25/2010
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 08/25/2010
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 02/17/2010
date Of Correction: 04/26/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 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: 04/12/2011
date Of Correction: 05/20/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 02/17/2010
date Of Correction: 04/26/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
12.5 %
12.58 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.7 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
23.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
59.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
4.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
10.8 %
9.22 %
Percent of long-stay residents who lose too much weight
0.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.50 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
7.6 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
33.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
28.4 %
17.34 %

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