CALVERT MANOR HEALTH CARE CENT

Nursing Home Inspector

1881 TELEGRAPH ROAD
RISING SUN, MD 21911
Cecil County
Phone: 410-658-6555
Provider Number: 215189
Last Inspection: 09/08/2017

About the Nursing Home

Number of Beds: 144
Number of Residents: 135
Beds Available: 9
Percent Occupancy: 94%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

6

Facility
31

County
29

MD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
16

2016
6

2015

Medicare Ratings

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

 

Details by Inspection Date

9/8/2017 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 10/23/2017
 
Failed To: Keep all essential equipment working safely. Pattern : Potential 3 10/23/2017
 

10/31/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/27/2016
 
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 12/27/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/27/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 12/27/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 12/27/2016
 

9/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 10/30/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 10/30/2015
 

Complaint Investigation Deficiencies

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

6/13/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Potential 3 8/8/2017
 
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 5/31/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 135 122.33 107.44
Registered Nurses 0.99 0.97 0.94
Licensed Practical / Vocational Nurses 0.66 0.78 0.87
Certified Nursing Assistants 2.24 2.08 2.35
Total Staff Hours 3.89 3.83 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 6 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 96 95
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 4 3 3
of long-stay residents who lose too much weight 8 7 6
of long-stay residents who received an antianxiety or hypnotic medication 20 24 18
of long-stay residents who received an antipsychotic medication 16 19 12
of long-stay residents who self-report moderate to severe pain 6 11 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 24 21
of long-stay residents whose need for help with daily activities has increased 12 17 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 5 4 3
of low risk long-stay residents who lose control of their bowels or bladder 72 53 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 88 83
of short-stay residents who had an outpatient emergency department visit 13 17 10
of short-stay residents who made improvements in function 87 81 67
of short-stay residents who newly received an antipsychotic medication 1 2 1
of short-stay residents who self-report moderate to severe pain 16 26 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 86 82
of short-stay residents who were rehospitalized after a nursing home admission 24 24 20
of short-stay residents who were successfully discharged to the community 64 59 55
of short-stay residents with pressure ulcers that are new or worsened 0 1 1