DOCTORS COMMUNITY REHABILITATION AND PATIENT CARE

Nursing Home Inspector

6710 MALLERY DRIVE
LANHAM, MD 20706
Prince Georges County
Phone: 301-552-2000
Provider Number: 215108
Last Inspection: 08/18/2016

About the Nursing Home

Number of Beds: 130
Number of Residents: 124
Beds Available: 6
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For 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

 

25

Facility 		26

County 		29

MD 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
25

2016		 18

2015		 24

2014

Medicare Ratings

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

 

Details by Inspection Date

8/18/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 10/2/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 10/2/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 10/2/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/2/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/2/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 10/2/2016
 

6/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/9/2015
 
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Actual 4 7/9/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Minimal 3 7/9/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/9/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/9/2015
 

4/1/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 5/16/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/16/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/16/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/16/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 5/16/2014
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 5/16/2014
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 5/16/2014
 
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 5/16/2014
 

Complaint Investigation Deficiencies

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

12/29/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/12/2017
 

3/16/2016 Investigation

 
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 4/30/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 4/30/2016
 

11/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 1/9/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 1/9/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 124 135.00 107.44
Registered Nurses 0.96 0.85 0.94
Licensed Practical / Vocational Nurses 1.16 0.99 0.87
Certified Nursing Assistants 2.03 2.19 2.35
Total Staff Hours 4.15 4.03 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 8 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 96 95
of long-stay residents experiencing one or more falls with major injury 0 1 2
of long-stay residents who have depressive symptoms 1 2 3
of long-stay residents who lose too much weight 8 5 6
of long-stay residents who received an antianxiety or hypnotic medication 9 13 18
of long-stay residents who received an antipsychotic medication 6 8 12
of long-stay residents who self-report moderate to severe pain 4 1 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 18 20 21
of long-stay residents whose need for help with daily activities has increased 17 16 17
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 4 2 3
of low risk long-stay residents who lose control of their bowels or bladder 63 67 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 88 92 83
of short-stay residents who had an outpatient emergency department visit 7 9 10
of short-stay residents who made improvements in function 65 63 67
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 3 5 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 86 82
of short-stay residents who were rehospitalized after a nursing home admission 19 21 20
of short-stay residents who were successfully discharged to the community 71 53 55
of short-stay residents with pressure ulcers that are new or worsened 1 1 1