JULIA MANOR NURSING AND REHABILITATION CENTER

Nursing Home Inspector

333 MILL STREET
HAGERSTOWN, MD 21740
Washington County
Phone: 301-665-8700
Provider Number: 215321
Last Inspection: 09/02/2016

About the Nursing Home

Number of Beds: 130
Number of Residents: 121
Beds Available: 9
Percent Occupancy: 93%
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

 

41

Facility 		46

County 		29

MD 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
41

2016		 18

2015		 32

2014

Medicare Ratings

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

 

Details by Inspection Date

9/2/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/18/2016
 
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. Pattern : Minimal 4 10/18/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/18/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/18/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/18/2016
 
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. Pattern : Minimal 4 10/18/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/18/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 10/18/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/18/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/18/2016
 
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 10/18/2016
 

6/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/28/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 7/28/2015
 
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. Pattern : Minimal 4 7/28/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/28/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/28/2015
 

3/26/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 5/20/2014
 
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 5/20/2014
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 5/20/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/20/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/20/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/20/2014
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 5/20/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 3/26/2014
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 5/20/2014
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 5/20/2014
 

Complaint Investigation Deficiencies

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

5/25/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 6/16/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/16/2017
 

8/16/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 9/21/2016
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 9/21/2016
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 6/1/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 9/21/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/21/2016
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Isolated : Minimal 3 9/21/2016
 

7/11/2016 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 unknown
 

12/21/2015 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 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 121 98.20 107.44
Registered Nurses 0.97 0.94 0.94
Licensed Practical / Vocational Nurses 0.63 0.82 0.87
Certified Nursing Assistants 1.96 2.42 2.35
Total Staff Hours 3.57 4.18 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 6 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 93 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 95 95
of long-stay residents experiencing one or more falls with major injury 3 4 2
of long-stay residents who have depressive symptoms 2 5 3
of long-stay residents who lose too much weight 8 7 6
of long-stay residents who received an antianxiety or hypnotic medication 21 31 18
of long-stay residents who received an antipsychotic medication 9 11 12
of long-stay residents who self-report moderate to severe pain 3 8 4
of long-stay residents who were physically restrained 0 1 0
of long-stay residents whose ability to move independently worsened 24 22 21
of long-stay residents whose need for help with daily activities has increased 18 14 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 6 6 3
of low risk long-stay residents who lose control of their bowels or bladder 49 54 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 71 71 83
of short-stay residents who had an outpatient emergency department visit 17 10 10
of short-stay residents who made improvements in function 55 65 67
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 3 17 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77 76 82
of short-stay residents who were rehospitalized after a nursing home admission 23 20 20
of short-stay residents who were successfully discharged to the community 60 58 55
of short-stay residents with pressure ulcers that are new or worsened 0 1 1