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MANOR CARE HEALTH SERVICES - CHEVY CHASE

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MANOR CARE HEALTH SERVICES - CHEVY CHASE VS
Nursing Homes USA
General
City CHEVY CHASE   0% Nursing Homes USA have CHEVY CHASE
State attribute explanation MD   1.5% Nursing Homes USA have MD
Street 8700 JONES MILL ROAD  
Zip Code 20815  
Phone 3016578686  
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
123 
108.94
Total Number of Residents
123 
91.25
Percent of Occupied Beds
100 %
83.65 %
Health Survey Date 3/31/2011  
Fire Survey Date 5/5/2011  
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? 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
45 
7.48
Staff Information
Number of Residents
123 
91.38
Number of RN Hours Per Resident Per Day
0.81 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.03 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.84 
1.59
Number of CNA Hours Per Resident Per Day
0.14 
5.49
Number Therapy Hours Per Resident Per Day
0.14 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
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: 04/13/2010
date Of Correction: 06/07/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.
survey Date: 02/09/2012
date Of Correction: 03/21/2012 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 02/09/2012
date Of Correction: 03/21/2012 
Deficiency #3 Scope: Some
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: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 09/04/2009
date Of Correction: 10/20/2009 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 04/15/2009
date Of Correction: 06/25/2009 
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: 03/31/2011
date Of Correction: 05/15/2011 
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: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #10 Scope: Some
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #11 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #12 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/04/2009
date Of Correction: 10/20/2009 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/27/2009
date Of Correction: 04/27/2009 
Deficiency #15 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #16 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #17 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #5 Scope: Some
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: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 09/04/2009
date Of Correction: 10/20/2009 
Deficiency #5 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/04/2009
date Of Correction: 06/25/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 03/31/2011
date Of Correction: 05/15/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #3 Scope: Some
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: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #4 Scope: Some
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: 04/13/2010
date Of Correction: 06/07/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/15/2009
date Of Correction: 05/19/2009 
Deficiency #7 Scope: Some
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: 04/15/2009
date Of Correction: 05/19/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.9 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.1 %
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
6.5 %
12.58 %
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.3 %
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
11.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
72.7 %
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
4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.8 %
9.22 %
Percent of long-stay residents who lose too much weight
4.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.4 %
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
4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
8.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
56.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
62.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
22.9 %
17.34 %

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