THE ARBOR

Nursing Home Inspector

7101 BAY FRONT DRIVE
ANNAPOLIS, MD 21403
Anne Arundel County
Phone: 410-268-9222
Provider Number: 215345
Last Inspection: 09/08/2016

About the Nursing Home

Number of Beds: 27
Number of Residents: 20
Beds Available: 7
Percent Occupancy: 74%
Insurance Accepted: Medicare
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

 

41

Facility
26

County
29

MD
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

41

2016
41

2015
21

2014

Medicare Ratings

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

 

Details by Inspection Date

9/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 10/17/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/17/2016
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 10/17/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/17/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/17/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 10/17/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/17/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/17/2016
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 10/17/2016
 
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 10/17/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/17/2016
 

7/3/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Widespread : Minimal 5 9/1/2015
 
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 9/1/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/1/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 9/1/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 9/1/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 9/1/2015
 
Failed To: Maintain 15 months of resident assessments in the resident's active clinical record. Pattern : Minimal 4 9/1/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/1/2015
 
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 9/1/2015
 
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 9/1/2015
 
Failed To: Hire a qualified full-time social worker in a facility with more than 120 beds. Widespread : Minimal 5 9/1/2015
 

5/7/2014 Inspection

 
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 6/24/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/24/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/24/2014
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/24/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 6/24/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/24/2014
 

Complaint Investigation Deficiencies

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

12/11/2014 Investigation

 
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 1/21/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 20 106.47 107.44
Registered Nurses 0.87 0.90 0.94
Licensed Practical / Vocational Nurses 1.26 0.98 0.87
Certified Nursing Assistants 2.84 2.13 2.35
Total Staff Hours 4.97 4.00 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 3 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 92 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 64 94 95
of long-stay residents experiencing one or more falls with major injury 0 2 2
of long-stay residents who have depressive symptoms 0 2 3
of long-stay residents who lose too much weight 8 6 6
of long-stay residents who received an antianxiety or hypnotic medication 3 14 18
of long-stay residents who received an antipsychotic medication 25 13 12
of long-stay residents who self-report moderate to severe pain 0 3 4
of long-stay residents who were physically restrained 4 0 0
of long-stay residents whose need for help with daily activities has increased 4 23 21
of long-stay residents with a catheter inserted and left in their bladder 0 16 17
of long-stay residents with a urinary tract infection 6 1 1
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 4 3
of short-stay residents who had an outpatient emergency department visit 9 56 58
of short-stay residents who made improvements in function 17 85 83
of short-stay residents who newly received an antipsychotic medication 3 9 10
of short-stay residents who self-report moderate to severe pain 4 64 67
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90 1 1
of short-stay residents who were rehospitalized after a nursing home admission 22 10 12
of short-stay residents who were successfully discharged to the community 71 87 82
of short-stay residents with pressure ulcers that are new or worsened 1 20 20