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Bethesda Health And Rehabilitation

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 200
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: 04/14/2011

Date of last standard health inspection: 04/14/2011
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 MD: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MD: 0 - 19

Inspection, 01/08/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/08/2011 00/00/0000 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 01/01/2007

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. 01/01/2007 00/00/0000 1 Some

Inspection, 00/08/2005

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. 00/08/2005 02/00/2006 1 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/08/2005 02/00/2006 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2005 02/00/2006 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/08/2005 02/00/2006 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2005 02/00/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2005 02/00/2006 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/08/2005 02/00/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2005 02/00/2006 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2005 02/00/2006 2 Some
Ensure residents maintain acceptable nutritional status. 00/08/2005 02/00/2006 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/08/2005 02/00/2006 2 Some
Give or get emergency care by a doctor 24 hours a day. 00/08/2005 02/00/2006 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. 00/08/2005 02/00/2006 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/08/2005 02/00/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/08/2005 02/00/2006 2 Few
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. 00/08/2005 02/00/2006 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/08/2005 02/00/2006 2 Some
Keep residents' personal and medical records private and confidential. 00/08/2005 02/00/2006 2 Few

Inspection, 01/04/2004

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. 01/04/2004 01/05/2004 1 Some
Keep accurate 01/04/2004 01/05/2004 Some complete and organized clinical records on each re
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. 01/04/2004 01/05/2004 1 Some
Store 01/04/2004 01/05/2004 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. 01/04/2004 01/05/2004 1 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/04/2004 01/05/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 01/05/2004 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. 01/04/2004 01/05/2004 1 Some
At least once a month 01/04/2004 01/05/2004 Few have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 01/05/2004 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. 01/04/2004 01/05/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2004 01/05/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/04/2004 01/05/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2004 01/05/2004 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. 01/04/2004 01/05/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/04/2004 01/05/2004 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2004 01/05/2004 1 Some
Conduct initial and periodic assessments of each resident's functional capacity. 01/04/2004 01/05/2004 2 Some
Develop a complete care plan that meets all the resident's needs 01/04/2004 01/05/2004 Some with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2004 01/05/2004 1 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. 01/04/2004 01/05/2004 2 Few
Give notice to the resident before a room or roommate change. 01/04/2004 01/05/2004 1 Some
Immediately tell the resident 01/04/2004 01/05/2004 and a family member of situations (injury/decline/ the resident's doctor
Give notice to the resident before a room or roommate change. 01/04/2004 01/05/2004 1 Some

Inspection, 01/02/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/02/2004 01/00/2006 Few controls and keeps infection from spreading.
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. 01/02/2004 01/00/2006 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. 01/02/2004 01/00/2006 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2004 01/00/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2004 01/00/2006 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 01/02/2004 01/00/2006 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 01/02/2004 01/00/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/04/2003

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. 01/04/2003 01/09/2004 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. 01/04/2003 01/09/2004 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. 01/04/2003 01/09/2004 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/04/2003 01/09/2004 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. 01/04/2003 01/09/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2003 01/09/2004 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. 01/04/2003 01/09/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2003 01/09/2004 2 Some
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/04/2003 01/09/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/04/2003 01/09/2004 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/04/2003 01/09/2004 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/04/2003 01/09/2004 2 Some
Completely assess the resident at least every twelve months. 01/04/2003 01/09/2004 1 Some
Assure that each resident 01/04/2003 01/09/2004 1 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 01/04/2003 01/09/2004 2 Few
Encode each resident 01/04/2003 01/09/2004 1 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. 01/04/2003 01/09/2004 2 Few

Inspection, 01/00/2002

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. 01/00/2002 01/05/2003 1 Some

Inspection, 01/07/2001

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/07/2001 00/02/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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 01/07/2001 00/02/2003 Some with timetables and actions that can be measured.

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 86 105 173
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 2 hours 7 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 1 hour 27 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 2 hours 19 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: 03/24/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/24/2011
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, 02/04/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2003 01/06/2005 2 Some
Portable fire extinguishers. 02/04/2003 01/06/2005 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/04/2003 01/06/2005 1 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 02/04/2003 01/06/2005 1 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/04/2003 01/06/2005 2 Few
 

5721 Grosvenor Lane
Bethesda, MD 20814

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