WALDORF CENTER

Nursing Home Inspector

4140 OLD WASHINGTON HIGHWAY
WALDORF, MD 20602
Charles County
Phone: 301-645-2813
Provider Number: 215273
Last Inspection: 12/16/2016

About the Nursing Home

Number of Beds: 115
Number of Residents: 110
Beds Available: 5
Percent Occupancy: 96%
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

 

23

Facility
21

County
29

MD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2016
12

2015
27

2014

Medicare Ratings

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

 

Details by Inspection Date

12/16/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/24/2017
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 1/24/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/24/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 1/24/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/24/2017
 
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 1/24/2017
 

10/27/2015 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 12/20/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/20/2015
 
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 12/20/2015
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 12/20/2015
 

7/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/15/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/15/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 9/15/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 9/15/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 9/15/2014
 
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 9/15/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/15/2014
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 9/15/2014
 

Complaint Investigation Deficiencies

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

6/16/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/30/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/30/2017
 

7/22/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/19/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 110 110.75 107.44
Registered Nurses 0.56 0.76 0.94
Licensed Practical / Vocational Nurses 1.13 1.04 0.87
Certified Nursing Assistants 1.91 2.40 2.35
Total Staff Hours 3.59 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 10 10 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 95 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 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 7 1 3
of long-stay residents who lose too much weight 8 5 6
of long-stay residents who received an antianxiety or hypnotic medication 18 25 18
of long-stay residents who received an antipsychotic medication 19 11 12
of long-stay residents who self-report moderate to severe pain 10 5 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 22 21
of long-stay residents whose need for help with daily activities has increased 23 18 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 3 2 3
of low risk long-stay residents who lose control of their bowels or bladder 20 42 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 83 83
of short-stay residents who had an outpatient emergency department visit 14 12 10
of short-stay residents who made improvements in function 53 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 9 8 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72 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 53 56 55
of short-stay residents with pressure ulcers that are new or worsened 1 0 1