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Ivy Hall Geriatric Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 130
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: 4
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 02/07/2012 02/03/2001 such as fire written plan for disasters and emergencies
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 02/07/2012 02/03/2001 Many controls and keeps infection from spreading.
Have enough outside ventilation via a window or mechanical ventilation 02/07/2012 02/03/2001 Many or both.
Make sure there is a pest control program to prevent/deal with mice 02/07/2012 02/03/2001 or other pests. insects
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 02/07/2012 02/03/2001 and serve food in a safe and clean way. cook
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 00/08/2012 01/02/2002 and manage each resident's personal money which is secure
Upon the death of a resident 00/08/2012 01/02/2002 Some convey the resident

Inspection, 00/04/2010

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/04/2010 00/07/2011 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/01/2006

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

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 00/09/2006 03/00/2006 and serve food in a safe and clean way. cook
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 00/09/2006 03/00/2006 Some with timetables and actions that can be measured.

Inspection, 02/04/2004

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. 02/04/2004 02/05/2005 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, 00/01/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/01/2003 01/02/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2003 01/02/2004 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/01/2003 01/02/2004 2 Few
Keep accurate 00/01/2003 01/02/2004 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2003 01/02/2004 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2003 01/02/2004 2 Few
Have enough outside ventilation via a window or mechanical ventilation, or both. 00/01/2003 01/02/2004 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2003 01/02/2004 2 Few
Have enough outside ventilation via a window or mechanical ventilation 00/01/2003 01/02/2004 Many or both.
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. 00/01/2003 01/02/2004 1 Many
Store 00/01/2003 01/02/2004 and serve food in a safe and clean way. cook
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. 00/01/2003 01/02/2004 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. 00/01/2003 01/02/2004 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. 00/01/2003 01/02/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2003 01/02/2004 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. 00/01/2003 01/02/2004 2 Few
Ensure residents maintain acceptable nutritional status. 00/01/2003 01/02/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2003 01/02/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2003 01/02/2004 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. 00/01/2003 01/02/2004 2 Few
Ensure residents maintain acceptable nutritional status. 00/01/2003 01/02/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 00/01/2003 01/02/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2003 01/02/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2003 01/02/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2003 01/02/2004 2 Some
Review or revise the resident's care plan after any major change in physical or mental health. 00/01/2003 01/02/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2003 01/02/2004 2 Few
Develop a complete care plan that meets all the resident's needs 00/01/2003 01/02/2004 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2003 01/02/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/01/2003 01/02/2004 2 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/01/2003 01/02/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2003 01/02/2004 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2003 01/02/2004 2 Few
Let residents refuse treatment 00/01/2003 01/02/2004 or formulate advance directives. refuse to take part in an experiment
Immediately tell the resident 00/01/2003 01/02/2004 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2003 01/02/2004 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2003 01/02/2004 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 00/03/2001 00/05/2002 comfortable and home-like environment; and allow r clean

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 1 out of 5 stars
Total Number of Residents 86 105 123
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 53 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 12 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 40 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 1 hour 46 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, 02/06/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/06/2003 00/00/0000 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/06/2003 00/07/2005 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/06/2003 00/07/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/06/2003 00/00/0000 1 Many
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. 02/06/2003 00/07/2005 2 Many
Properly maintained smoke detectors. 02/06/2003 00/07/2005 2 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. 02/06/2003 00/07/2005 1 Many
 

1300 Windlass Drive
Baltimore, MD 21220

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