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Specialty Hospital Of Washington - Hadley Snf

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 62
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: 12/19/2011

Date of last standard health inspection: 12/19/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in DC: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DC: 0 - 4

Inspection, 01/09/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/09/2012 02/07/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/09/2012 02/07/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2012 02/07/2002 2 Few
Dispose of garbage and refuse properly. 01/09/2012 02/07/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/09/2012 02/07/2002 2 Some
Keep all essential equipment working safely. 01/09/2012 02/07/2002 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/09/2012 02/07/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/09/2012 02/07/2002 2 Few
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. 01/09/2012 02/07/2002 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. 01/09/2012 02/07/2002 2 Few
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. 01/09/2012 02/07/2002 2 Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 01/09/2012 02/07/2002 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/09/2012 02/07/2002 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 01/09/2012 02/07/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/09/2012 02/07/2002 3 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. 01/09/2012 02/07/2002 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. 01/09/2012 02/07/2002 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/09/2012 02/07/2002 2 Some
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 01/09/2012 02/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/09/2012 02/07/2002 2 Some

Inspection, 00/02/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/02/2012 02/08/2001 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/02/2012 02/08/2001 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/02/2012 02/08/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/02/2012 02/08/2001 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/02/2012 02/08/2001 2 Some
Keep all essential equipment working safely. 00/02/2012 02/08/2001 2 Few
Put firmly secured handrails on each side of hallways. 00/02/2012 02/08/2001 2 Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/02/2012 02/08/2001 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. 00/02/2012 02/08/2001 2 Few
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. 00/02/2012 02/08/2001 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. 00/02/2012 02/08/2001 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/02/2012 02/08/2001 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/02/2012 02/08/2001 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/02/2012 02/08/2001 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/02/2012 02/08/2001 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. 00/02/2012 02/08/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2012 02/08/2001 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/02/2012 02/08/2001 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/02/2012 02/08/2001 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/02/2012 02/08/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/02/2012 02/08/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/02/2012 02/08/2001 2 Few
Maintain 15 months of resident assessments in the resident's active clinical record. 00/02/2012 02/08/2001 2 Few
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. 00/02/2012 02/08/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/02/2012 02/08/2001 2 Few

Inspection, 00/09/2009

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. 00/09/2009 02/00/2010 2 Few

Inspection, 01/03/2007

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. 01/03/2007 00/01/2009 3 Few

Inspection, 02/03/2005

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/03/2005 00/07/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/08/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/08/2001 00/08/2002 Few complete and organized clinical records on each re
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. 01/08/2001 00/08/2002 2 Few

Inspection, 00/09/2001

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. 00/09/2001 02/02/2002 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2001 02/02/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/09/2001 02/02/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2001 02/02/2002 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/09/2001 02/02/2002 2 Few
Put firmly secured handrails on each side of hallways. 00/09/2001 02/02/2002 2 Few
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. 00/09/2001 02/02/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 00/09/2001 02/02/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/09/2001 02/02/2002 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/09/2001 02/02/2002 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2001 02/02/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/09/2001 02/02/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2001 02/02/2002 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/09/2001 02/02/2002 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. 00/09/2001 02/02/2002 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/09/2001 02/02/2002 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/09/2001 02/02/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2001 02/02/2002 2 Few
Give notice to the resident before a room or roommate change. 00/09/2001 02/02/2002 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 DC Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 115 61
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 73 hours 9 minutes 2 hours 41 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 72 hours 6 minutes 1 hour 34 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 72 hours 21 minutes 1 hour 7 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 82 hours 8 minutes 1 hour 35 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: 12/12/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 12/12/2011
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 DC: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DC: 0 - 0

Inspection, 01/02/2012

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/02/2012 02/07/2001 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/02/2012 02/07/2001 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/02/2012 02/07/2001 2 Few

Inspection, 00/02/2012

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2012 02/08/2001 2 Some
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. 00/02/2012 02/08/2001 2 Some

Inspection, 02/04/2001

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2001 02/02/2002 2 Few
 

4601 Martin Luther King Jr Avenue Sw
Washington, DC 20032

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