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Holly Hill Nursing And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 55
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 3
Average number of Health Deficiencies in MD: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MD: 0 - 19
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/00/2012 01/01/2001 1 Many
Have enough outside ventilation via a window or mechanical ventilation 02/00/2012 01/01/2001 Many or both.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 02/00/2012 01/01/2001 and serve food in a safe and clean way. cook

Inspection, 00/04/2005

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. 00/04/2005 03/00/2005 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/04/2005 03/00/2005 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. 00/04/2005 03/00/2005 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/04/2005 03/00/2005 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2005 03/00/2005 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/04/2005 03/00/2005 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. 00/04/2005 03/00/2005 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/04/2005 03/00/2005 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 00/04/2005 03/00/2005 4 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2005 03/00/2005 2 Few
Assist those residents who need help with eating/drinking 00/04/2005 03/00/2005 Some grooming and personal and oral hygiene.
Develop policies and procedures for influenza and pneumococcal immunizations. 00/04/2005 03/00/2005 4 Some
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. 00/04/2005 03/00/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2005 03/00/2005 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/04/2005 03/00/2005 2 Few
Develop a complete care plan that meets all the resident's needs 00/04/2005 03/00/2005 Few with timetables and actions that can be measured.
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. 00/04/2005 03/00/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/04/2005 03/00/2005 2 Few

Inspection, 01/04/2004

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. 01/04/2004 01/01/2005 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. 01/04/2004 01/01/2005 2 Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. 01/04/2004 01/01/2005 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 01/04/2004 01/01/2005 1 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/04/2004 01/01/2005 2 Some
Have a program that investigates 01/04/2004 01/01/2005 Few controls and keeps infection from spreading.
Be designed 01/04/2004 01/01/2005 equipped built
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 01/01/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 01/01/2005 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 01/01/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 01/01/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/04/2004 01/01/2005 2 Few
Assist those residents who need help with eating/drinking 01/04/2004 01/01/2005 Few grooming and personal and oral hygiene.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/04/2004 01/01/2005 2 Few
Keep residents' personal and medical records private and confidential. 01/04/2004 01/01/2005 2 Few

Inspection, 01/02/2002

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment 01/02/2002 02/06/2002 or formulate advance directives. refuse to take part in an experiment
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 01/02/2002 02/06/2002 2 Few

Inspection, 02/02/2001

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. 02/02/2001 00/08/2003 1 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2001 00/08/2003 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/02/2001 00/08/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2001 00/08/2003 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/02/2001 00/08/2003 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 02/02/2001 00/08/2003 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/02/2001 00/08/2003 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/02/2001 00/08/2003 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. 02/02/2001 00/08/2003 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/02/2001 00/08/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/02/2001 00/08/2003 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. 02/02/2001 00/08/2003 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. 02/02/2001 00/08/2003 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2001 00/08/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2001 00/08/2003 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. 02/02/2001 00/08/2003 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 86 105 42
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 1 hour 27 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 31 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 57 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 2 hours 24 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: 04/27/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/27/2011
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, 02/03/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/03/2011 00/02/2002 2 Many
Automatic sprinkler systems that have been maintained in working order. 02/03/2011 00/02/2002 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/03/2011 00/02/2002 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/03/2011 00/02/2002 2 Some
Signs that state that exit doors are to be kept closed. 02/03/2011 00/02/2002 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2011 00/02/2002 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 02/03/2011 00/02/2002 2 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. 02/03/2011 00/02/2002 2 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. 02/03/2011 00/02/2002 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/03/2011 00/02/2002 2 Many
Protected exits that allow the resident to escape the building. 02/03/2011 00/02/2002 2 Many

Inspection, 01/02/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/02/2006 01/03/2007 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/02/2006 01/03/2007 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/02/2006 01/03/2007 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/02/2006 01/03/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/02/2006 01/03/2007 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 01/02/2006 01/03/2007 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/02/2006 01/03/2007 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/02/2006 01/03/2007 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/02/2006 01/03/2007 2 Some
Protected exits that allow the resident to escape the building. 01/02/2006 01/03/2007 2 Some

Inspection, 02/07/2004

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/07/2004 01/01/2005 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 02/07/2004 01/01/2005 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/07/2004 01/01/2005 2 Many
Protected exits that allow the resident to escape the building. 02/07/2004 01/01/2005 2 Many
 

531 Stevenson Lane
Towson, MD 21286

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