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CARROLL MANOR NURSING & REHAB

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CARROLL MANOR NURSING & REHAB VS
Nursing Homes USA
General
City Washington  0.2% Nursing Homes USA have Washington
State attribute explanation DC   0.1% Nursing Homes USA have DC
Street 725 BUCHANAN ST., NE  
Zip Code 20017  
Phone 2022697221  
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
252 
108.94
Total Number of Residents
245 
91.25
Percent of Occupied Beds
97 %
83.65 %
Health Survey Date 9/19/2011  
Fire Survey Date 10/4/2011  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? Yes  6.4% Nursing Homes USA 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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 12  
Staff Information
Number of Residents
245 
91.38
Number of RN Hours Per Resident Per Day
0.84 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.11 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.95 
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 The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/28/2012
date Of Correction: 07/23/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/22/2012
date Of Correction: 05/02/2012 
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: 11/07/2011
date Of Correction: 11/21/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/15/2011
date Of Correction: 04/03/2011 
Deficiency #5 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: 04/26/2010
date Of Correction: 06/08/2010 
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: 12/10/2009
date Of Correction: 12/22/2009 
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: 06/28/2012
date Of Correction: 07/23/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/28/2012
date Of Correction: 07/23/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/03/2010
date Of Correction: 03/01/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/10/2009
date Of Correction: 12/22/2009 
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: 06/28/2012
date Of Correction: 07/23/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/10/2009
date Of Correction: 12/22/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.6 %
12.58 %
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
63 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 %
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
16.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
0.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.7 %
9.22 %
Percent of long-stay residents who lose too much weight
8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.6 %
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
6.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 %
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
2.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
15.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 8.1 / 8.8 % 

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