SAGEPOINT NURSING AND REHABILITATION CENTER

Nursing Home Inspector

10200 LAPLATA ROAD
LA PLATA, MD 20646
Charles County
Phone: 301-934-1900
Provider Number: 215106
Last Inspection: 04/28/2017

About the Nursing Home

Number of Beds: 165
Number of Residents: 149
Beds Available: 16
Percent Occupancy: 90%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

15

Facility
21

County
29

MD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

15

2017
12

2016
28

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/28/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 7/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/21/2017
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 7/21/2017
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 7/21/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/21/2017
 

3/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 4/15/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 4/15/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/15/2016
 
Failed To: 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. Isolated : Minimal 3 4/15/2016
 

12/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 2/2/2015
 
Failed To: Hire sufficient dietary support personnel. Isolated : Minimal 3 2/2/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/2/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 2/2/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/2/2015
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 2/2/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 2/2/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/2/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/2/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

6/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 7/13/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 149 110.75 107.44
Registered Nurses 0.75 0.76 0.94
Licensed Practical / Vocational Nurses 0.95 1.04 0.87
Certified Nursing Assistants 2.66 2.40 2.35
Total Staff Hours 4.36 4.20 4.16

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MD State Avg%
of high risk long-stay residents with pressure ulcers 7 10 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 95 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 95
of long-stay residents experiencing one or more falls with major injury 2 3 2
of long-stay residents who have depressive symptoms 0 1 3
of long-stay residents who lose too much weight 3 5 6
of long-stay residents who received an antianxiety or hypnotic medication 23 25 18
of long-stay residents who received an antipsychotic medication 2 11 12
of long-stay residents who self-report moderate to severe pain 1 5 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 10 22 21
of long-stay residents whose need for help with daily activities has increased 9 18 17
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 3 2 3
of low risk long-stay residents who lose control of their bowels or bladder 50 42 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 88 83 83
of short-stay residents who had an outpatient emergency department visit 12 12 10
of short-stay residents who made improvements in function 71 69 67
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 4 8 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 82 82
of short-stay residents who were rehospitalized after a nursing home admission 24 21 20
of short-stay residents who were successfully discharged to the community 55 56 55
of short-stay residents with pressure ulcers that are new or worsened 1 0 1