FUTURE CARE SANDTOWN-WINCHESTER

Nursing Home Inspector

1000 N. GILMORE STREET
BALTIMORE, MD 21217
Baltimore City County
Phone: 410-669-2750
Provider Number: 215271
Last Inspection: 04/28/2017

About the Nursing Home

Number of Beds: 148
Number of Residents: 138
Beds Available: 10
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Partnership
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

 

39

Facility
33

County
29

MD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

39

2017
16

2016
26

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: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 6/10/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/10/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 6/10/2017
 
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 6/10/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/10/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/10/2017
 
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 6/10/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 6/10/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 6/10/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 6/10/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 6/10/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 6/10/2017
 

1/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain comfortable and safe temperature levels. Isolated : Minimal 3 2/25/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 2/25/2016
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 2/25/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 2/25/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 2/25/2016
 

10/29/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 12/13/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/13/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/13/2014
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 12/13/2014
 
Failed To: Post nurse staffing information/data on a daily basis. Isolated : Minimal 3 12/13/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/13/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/13/2014
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 12/13/2014
 

Complaint Investigation Deficiencies

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

3/28/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 5/10/2017
 

10/28/2015 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 11/13/2015
 
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 11/13/2015
 

9/18/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/9/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 10/9/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 138 119.64 107.44
Registered Nurses 0.85 0.94 0.94
Licensed Practical / Vocational Nurses 0.69 0.87 0.87
Certified Nursing Assistants 2.35 2.40 2.35
Total Staff Hours 3.90 4.22 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 4 8 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 91 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 93 95
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 9 4 3
of long-stay residents who lose too much weight 8 6 6
of long-stay residents who received an antianxiety or hypnotic medication 9 14 18
of long-stay residents who received an antipsychotic medication 7 11 12
of long-stay residents who self-report moderate to severe pain 2 3 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 23 21
of long-stay residents whose need for help with daily activities has increased 16 19 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 71 56 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 48 75 83
of short-stay residents who had an outpatient emergency department visit 12 11 10
of short-stay residents who made improvements in function 73 66 67
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 21 14 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74 76 82
of short-stay residents who were rehospitalized after a nursing home admission 20 22 20
of short-stay residents who were successfully discharged to the community 57 50 55
of short-stay residents with pressure ulcers that are new or worsened 0 0 1