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Layhill Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 129
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: 09/01/2011

Date of last standard health inspection: 09/01/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 5
Average number of Health Deficiencies in MD: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MD: 0 - 19
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. 01/08/2012 01/07/2001 2 Few
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/07/2012 02/06/2001 Some complete and organized clinical records on each re
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. 01/07/2012 02/06/2001 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 01/07/2012 02/06/2001 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/07/2012 02/06/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/07/2010

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. 02/07/2010 00/09/2012 2 Few

Inspection, 00/09/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 00/09/2010 02/00/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/09/2010 02/00/2011 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/09/2010 02/00/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2010 02/00/2011 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. 00/09/2010 02/00/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2010 02/00/2011 2 Some
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. 00/09/2010 02/00/2011 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. 00/09/2010 02/00/2011 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/09/2010 02/00/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/09/2010 02/00/2011 2 Few

Inspection, 00/01/2009

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. 00/01/2009 01/06/2010 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. 00/01/2009 01/06/2010 2 Few
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. 00/01/2009 01/06/2010 2 Few
At least once a month 00/01/2009 01/06/2010 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/01/2009 01/06/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2009 01/06/2010 2 Some
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. 00/01/2009 01/06/2010 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/01/2009 01/06/2010 2 Some
Provide activities to meet the interests and needs of each resident. 00/01/2009 01/06/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2009 01/06/2010 2 Some
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. 00/01/2009 01/06/2010 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/01/2009 01/06/2010 2 Some
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. 00/01/2009 01/06/2010 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2009 01/06/2010 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2009 01/06/2010 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2009 01/06/2010 2 Some
Develop a complete care plan that meets all the resident's needs 00/01/2009 01/06/2010 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2009 01/06/2010 2 Few

Inspection, 00/09/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2008 02/03/2009 2 Few
Keep accurate 00/09/2008 00/09/2008 Few complete and organized clinical records on each re
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. 00/09/2008 02/03/2009 2 Few
Provide a safe 00/09/2008 00/09/2008 comfortable and home-like environment; and allow r clean
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. 00/09/2008 02/03/2009 2 Some
Store 00/09/2008 00/09/2008 and serve food in a safe and clean way. cook
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. 00/09/2008 02/03/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2008 02/03/2009 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/09/2008 02/03/2009 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2008 00/09/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2008 00/09/2008 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/09/2008 00/09/2008 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. 00/09/2008 02/03/2009 2 Few
Develop a complete care plan that meets all the resident's needs 00/09/2008 00/09/2008 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/09/2008 02/03/2009 1 Some
Give residents a notice of rights 00/09/2008 00/09/2008 services and charges. rules

Inspection, 02/07/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/07/2006 00/08/2008 1 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. 02/07/2006 01/07/2009 1 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2006 00/08/2008 3 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/07/2006 00/08/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the resident's representative the ability to exercise the resident's rights. 02/07/2006 00/08/2008 2 Few

Inspection, 00/04/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/04/2001 01/08/2002 Some complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/04/2001 01/08/2002 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/04/2001 01/08/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 00/04/2001 01/08/2002 1 Some

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 5 out of 5 stars
Total Number of Residents 86 105 104
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 2 hours 9 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 1 hour 21 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 2 hours 1 minute

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: 09/22/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/22/2011
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, 01/01/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/01/2010 01/00/2001 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/01/2010 01/00/2001 2 Few
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. 01/01/2010 01/00/2001 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/01/2010 01/00/2001 1 Many

Inspection, 02/02/2009

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/02/2009 00/07/2011 1 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/02/2009 00/07/2011 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/02/2009 00/07/2011 2 Few
No-smoking signs where oxygen is used. 02/02/2009 00/07/2011 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/02/2009 00/07/2011 1 Many
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/02/2009 00/07/2011 2 Few

Inspection, 00/02/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2009 00/08/2011 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/02/2009 00/08/2011 1 Many
Properly protected cooking facilities. 00/02/2009 00/08/2011 1 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2009 00/08/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/02/2009 00/08/2011 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 00/02/2009 00/08/2011 1 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/02/2009 00/08/2011 2 Few
 

3227 Bel Pre Road
Silver Spring, MD 20906

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