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CARRIAGE HILL BETHESDA

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CARRIAGE HILL BETHESDA VS
Nursing Homes USA
General
City BETHESDA   0% Nursing Homes USA have BETHESDA
State attribute explanation MD   1.5% Nursing Homes USA have MD
Street 5215 CEDAR LANE  
Zip Code 20814  
Phone 3018975500  
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
108 
108.94
Total Number of Residents
77 
91.25
Percent of Occupied Beds
71 %
83.65 %
Health Survey Date 1/27/2012  
Fire Survey Date 2/21/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  5% Nursing Homes USA have Medicare
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? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA 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
7.48
Staff Information
Number of Residents
77 
91.38
Number of RN Hours Per Resident Per Day
0.46 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.77 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
0.18 
5.49
Number Therapy Hours Per Resident Per Day
0.18 
0.10
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: 06/16/2009
date Of Correction: 08/10/2009 
Resident Rights Deficiencies
Deficiency #1 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: 06/16/2009
date Of Correction: 08/10/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/15/2010
date Of Correction: 02/28/2010 
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: 06/26/2009
date Of Correction: 08/10/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/16/2009
date Of Correction: 08/10/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 01/15/2010
date Of Correction: 02/28/2010 
Deficiency #2 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: 06/16/2009
date Of Correction: 08/10/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 01/15/2010
date Of Correction: 02/28/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.5 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
5.3 %
16.66 %
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
2 %
15.63 %
Percent of long-stay residents with a urinary tract infection 11.8:1 % 
Percent of long-stay residents who have depressive symptoms
3.6 %
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 10.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2.9 %
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
13.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6 %
9.22 %
Percent of long-stay residents who lose too much weight
1.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
12 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.1 %
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
1.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
15.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 8.9 / 9.9 % 

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