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Holy Cross Rehab And Nursing

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 145
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: 02/25/2011

Date of last standard health inspection: 02/25/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
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
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2012 01/04/2001 2 Few

Inspection, 01/05/2009

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/05/2009 01/05/2010 1 Some

Inspection, 01/07/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/07/2006 02/03/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights 01/07/2006 02/03/2007 services and charges. rules
Immediately tell the resident 01/07/2006 02/03/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/08/2005

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment 01/08/2005 01/08/2006 or formulate advance directives. refuse to take part in an experiment

Inspection, 00/04/2003

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. 00/04/2003 00/03/2005 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/04/2003 00/03/2005 2 Few
Operate and provide services according to Federal 00/04/2003 00/03/2005 and local laws and professional standards. State
Keep accurate 00/04/2003 00/03/2005 Few complete and organized clinical records on each re
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. 00/04/2003 00/03/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/04/2003 00/03/2005 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. 00/04/2003 00/03/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2003 00/03/2005 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/04/2003 00/03/2005 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/04/2003 00/03/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2003 00/03/2005 2 Some
Properly care for residents needing special services 00/04/2003 00/03/2005 colostomy including: injections
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. 00/04/2003 00/03/2005 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2003 00/03/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2003 00/03/2005 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/04/2003 00/03/2005 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2003 00/03/2005 2 Few
Develop a complete care plan that meets all the resident's needs 00/04/2003 00/03/2005 Few with timetables and actions that can be measured.
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. 00/04/2003 00/03/2005 2 Few
Give residents a notice of rights, rules, services and charges. 00/04/2003 00/03/2005 2 Few
Let residents refuse treatment 00/04/2003 00/03/2005 or formulate advance directives. refuse to take part in an experiment
Give residents a notice of rights 00/04/2003 00/03/2005 services and charges. rules

Inspection, 02/05/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/05/2002 02/05/2004 1 Some
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. 02/05/2002 02/05/2004 2 Few
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. 02/05/2002 02/05/2004 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. 02/05/2002 02/05/2004 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. 02/05/2002 02/05/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/05/2002 02/05/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2002 02/05/2004 2 Some
Ensure residents maintain acceptable nutritional status. 02/05/2002 02/05/2004 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. 02/05/2002 02/05/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/05/2002 02/05/2004 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/05/2002 02/05/2004 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. 02/05/2002 02/05/2004 2 Some

Inspection, 02/02/2002

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. 02/02/2002 01/05/2004 1 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2002 01/05/2004 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/02/2002 01/05/2004 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2002 01/05/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/02/2002 01/05/2004 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. 02/02/2002 01/05/2004 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. 02/02/2002 01/05/2004 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/02/2002 01/05/2004 2 Few
Ensure that residents are safe from serious medication errors. 02/02/2002 01/05/2004 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. 02/02/2002 01/05/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/02/2002 01/05/2004 1 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. 02/02/2002 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. 02/02/2002 01/05/2004 2 Some
Review or revise the resident's care plan after any major change in physical or mental health. 02/02/2002 01/05/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2002 01/05/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2002 01/05/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 02/02/2002 01/05/2004 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 3 out of 5 stars
Total Number of Residents 86 105 136
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 2 hours 1 minute
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 42 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 1 hour 19 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 2 hours 9 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: 03/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/09/2011
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, 00/09/2003

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. 00/09/2003 01/06/2005 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2003 01/06/2005 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. 00/09/2003 01/06/2005 1 Some

Inspection, 00/09/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2002 01/00/2007 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. 00/09/2002 01/00/2007 1 Many

Inspection, 00/03/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/03/2002 01/09/2004 1 Some
Portable fire extinguishers. 00/03/2002 01/09/2004 1 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/03/2002 01/09/2004 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/03/2002 01/09/2004 1 Many
Properly installed electrical wiring and equipment. 00/03/2002 02/08/2004 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/03/2002 02/08/2004 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. 00/03/2002 02/08/2004 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 00/03/2002 02/08/2004 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/03/2002 02/08/2004 1 Many
No-smoking signs where oxygen is used. 00/03/2002 02/08/2004 1 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/03/2002 01/09/2004 1 Some
 

3415 Greencastle Road
Burtonsville, MD 20866

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