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ENVOY OF PIKESVILLE

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ENVOY OF PIKESVILLE VS
Nursing Homes USA
General
City PIKESVILLE   0% Nursing Homes USA have PIKESVILLE
State attribute explanation MD   1.5% Nursing Homes USA have MD
Street 7 SUDBROOK LANE  
Zip Code 21208  
Phone 4104868771  
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
140 
108.94
Total Number of Residents
133 
91.25
Percent of Occupied Beds
95 %
83.65 %
Health Survey Date 8/15/2011  
Fire Survey Date 8/15/2011  
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 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? 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
10 
7.48
Staff Information
Number of Residents
133 
91.38
Number of RN Hours Per Resident Per Day
0.5 - 2.0 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.73 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public.
survey Date: 06/26/2012
date Of Correction: 07/19/2012 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/26/2012
date Of Correction: 07/19/2012 
Deficiency #3 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: 09/10/2010
date Of Correction: 09/10/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
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: 05/01/2009
date Of Correction: 05/16/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 09/10/2010
date Of Correction: 10/27/2010 
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: 09/10/2010
date Of Correction: 10/27/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/26/2012
date Of Correction: 07/19/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 09/10/2010
date Of Correction: 10/27/2010 
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: 09/10/2010
date Of Correction: 10/27/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 06/26/2012
date Of Correction: 07/19/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
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 10.3:1 % 
Percent of long-stay residents who lose too much weight
11.4 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.9 %
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
16.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
58.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
4.7 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
2.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.8 %
9.22 %
Percent of long-stay residents who lose too much weight
9.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.7 %
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
15.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
63.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
8.7 %
17.34 %

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