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West Md Health Syst Frostburg Nrsg And Rehab Ctr

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 88
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: 01/20/2012

Date of last standard health inspection: 01/20/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 11
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
Keep accurate 01/01/2012 01/06/2001 Some complete and organized clinical records on each re
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights 01/01/2012 01/06/2001 services and charges. rules
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/00/2012 00/00/0000 1 Many
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. 01/00/2012 00/00/0000 2 Few
Keep all essential equipment working safely. 01/00/2012 00/00/0000 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 01/00/2012 00/00/0000 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month 01/00/2012 00/00/0000 Few have a licensed pharmacist review each resident's
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. 01/00/2012 00/00/0000 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. 01/00/2012 00/00/0000 2 Few
Develop a complete care plan that meets all the resident's needs 01/00/2012 00/00/0000 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 01/00/2012 00/00/0000 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/00/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/00/2012 00/04/2002 1 Many
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. 01/00/2012 00/04/2002 2 Few
Keep all essential equipment working safely. 01/00/2012 00/04/2002 2 Some
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. 01/00/2012 00/04/2002 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. 01/00/2012 00/04/2002 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. 01/00/2012 00/04/2002 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. 01/00/2012 00/04/2002 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/00/2012 00/04/2002 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. 01/00/2012 00/04/2002 2 Few

Inspection, 01/08/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/08/2010 03/00/2011 1 Many
Have enough outside ventilation via a window or mechanical ventilation 01/08/2010 03/00/2011 Many or both.

Inspection, 01/08/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain laboratory services only when ordered by the attending physician. 01/08/2009 03/00/2011 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. 01/08/2009 03/00/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/08/2009 03/00/2011 2 Few
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 01/08/2009 03/00/2011 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. 01/08/2009 03/00/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2009 03/00/2011 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. 01/08/2009 03/00/2011 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2009 03/00/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/08/2009 03/00/2011 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. 01/08/2009 03/00/2011 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2009 03/00/2011 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 02/01/2003 2 Few

Inspection, 00/04/2002

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. 00/04/2002 01/05/2004 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/04/2002 00/04/2002 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 02/00/2001

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. 02/00/2001 01/07/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2001 01/07/2002 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. 02/00/2001 01/07/2002 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/00/2001 01/07/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2001 01/07/2002 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/00/2001 01/07/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/00/2001 01/07/2002 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/00/2001 01/07/2002 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 MD Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 105 80
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 1 hour 30 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 58 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 32 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 2 hours 15 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: 01/30/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/30/2012
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, 01/06/2012

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. 01/06/2012 03/00/2012 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 01/06/2012 00/05/2001 1 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
No-smoking signs where oxygen is used. 01/06/2012 03/01/2001 1 Many

Inspection, 00/01/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2009 02/01/2009 1 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/01/2009 01/07/2009 1 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2009 02/01/2009 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. 00/01/2009 00/01/2009 1 Some

Inspection, 03/00/2001

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. 03/00/2001 01/05/2002 1 Many
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. 03/00/2001 01/05/2002 1 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 03/00/2001 01/05/2002 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." 03/00/2001 01/05/2002 2 Few
 

48 Tarn Terrace
Frostburg, MD 21532

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