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Ivy Hall Geriatric Rehabilitation Center

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1300 Windlass Drive
Baltimore, MD 21220
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 122
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/09/2011

Date of last standard health inspection: 06/09/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 9
Average number of Health Deficiencies in MD: 5
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MD: 0 - 19
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 02/07/2012 02/03/2001 1 Many
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 02/07/2012 02/03/2001 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2012 02/03/2001 1 Many
Have a program that investigates, controls and keeps infection from spreading. 02/07/2012 02/03/2001 1 Many
Have enough outside ventilation via a window or mechanical ventilation, or both. 02/07/2012 02/03/2001 1 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/07/2012 02/03/2001 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/07/2012 02/03/2001 1 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/08/2012 01/02/2002 1 Some
Upon the death of a resident, convey the resident 00/08/2012 01/02/2002 2 Some

Inspection, 00/04/2010

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/04/2010 00/07/2011 2 Few

Inspection, 01/01/2006

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/01/2006 01/02/2007 2 Some
Upon the death of a resident, convey the resident 01/01/2006 01/02/2007 2 Some

Inspection, 00/09/2006

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/09/2006 03/00/2006 2 Some
Store, cook, and serve food in a safe and clean way. 00/09/2006 03/00/2006 2 Some
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. 00/09/2006 03/00/2006 2 Some
Store, cook, and serve food in a safe and clean way. 00/09/2006 03/00/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2006 03/00/2006 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2006 03/00/2006 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2006 03/00/2006 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/09/2006 03/00/2006 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/09/2006 03/00/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2006 03/00/2006 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/09/2006 03/00/2006 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/09/2006 03/00/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/09/2006 03/00/2006 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/09/2006 03/00/2006 2 Some

Inspection, 02/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 02/09/2003 00/08/2005 1 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2003 00/08/2005 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2003 00/08/2005 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2003 00/08/2005 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/09/2003 00/08/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/09/2003 00/08/2005 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/09/2003 00/08/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2003 00/08/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 00/08/2005 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/09/2003 00/08/2005 2 Some
Ensure residents maintain acceptable nutritional status. 02/09/2003 00/08/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2003 00/08/2005 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2003 00/08/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/09/2003 00/08/2005 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/09/2003 00/08/2005 2 Some

Inspection, 00/05/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 00/05/2003 01/06/2004 2 Few
Provide or obtain laboratory services only when ordered by the attending physician. 00/05/2003 01/06/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/05/2003 01/06/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2003 01/06/2004 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/05/2003 01/06/2004 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/05/2003 01/06/2004 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/05/2003 01/06/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2003 01/06/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2003 01/06/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/05/2003 01/06/2004 2 Few
Ensure residents maintain acceptable nutritional status. 00/05/2003 01/06/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/05/2003 01/06/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/05/2003 01/06/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/05/2003 01/06/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/05/2003 01/06/2004 2 Few

Inspection, 02/03/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/03/2002 00/09/2003 2 Few

Inspection, 00/03/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/03/2001 00/05/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MD Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 85 104 117
Total, Licensed Nurse Staff Hours
per Resident per Day 		15 hours 26 minutes 6 hours 59 minutes 1 hour 33 minutes
RN Hours
per Resident per Day 		14 hours 37 minutes 6 hours 7 minutes 33 minutes
LPN/LVN Hours
per Resident per Day 		14 hours 52 minutes 6 hours 16 minutes 1 hour 1 minute
CNA Hours
per Resident per Day 		16 hours 21 minutes 7 hours 41 minutes 2 hours 21 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 05/17/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/17/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MD: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MD: 0 - 0

Inspection, 01/07/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/07/2005 01/05/2006 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/07/2005 01/07/2005 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/07/2005 01/07/2005 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/07/2005 00/02/2006 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 01/07/2005 00/02/2006 2 Few

Inspection, 02/05/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/05/2004 03/01/2005 1 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/05/2004 03/01/2005 2 Many
Exit and Exit Access Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least two remote exits on each floor or fire section of the building. 02/05/2004 03/01/2005 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/05/2004 03/01/2005 1 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/05/2004 03/01/2005 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/05/2004 03/01/2005 1 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/05/2004 03/01/2005 1 Some

Inspection, 02/01/2001

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/01/2001 02/05/2001 2 Few