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CITIZENS NSG HOME OF FREDERICK - FREDERICK, MD

 



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Address
1920 ROSEMONT AVENUE
FREDERICK, MD, 21702
Phone (make sure to verify first before calling): (301) 600-1550

Number of Certified Beds: 170
Total Number of Residents: 138
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

Provided Services

  • Activities Services Are Provided Offsite To Residents
  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Other Social Services Are Provided Onsite To Nonresidents
  • Pharmacy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Offsite To Residents
  • Social Work Services Are Provided Onsite To Non Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 11.27
Administrative Staff - Part Time: 1.93
Certified Nurse Aides - Full Time: 35.59
Certified Nurse Aides - Part Time: 27.64
Food Service Personnel - Full Time: 19.06
Housekeeping Personnel - Full Time: 10.20
Licensed Practical/ Vocational Nurses - Full Time: 8.33
Licensed Practical/ Vocational Nurses - Part Time: 11.26
Medical Directors - Under Contract: 0.13
Nurses With Administrative Duties - Full Time: 3.24
Persons Not Included In Any Other Categories - Full Time: 12.77
Registered Nurses - Full Time: 5.83
Rn Director Of Nursing - Full Time: 1.24
Social Workers - Full Time: 2.59
Activities Professionals - Full Time: 0.97
Food Service Personnel - Under Contract: 6.97
Dietitians - Full Time: 1.19
Sppech Pathologists - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 4.33
Registered Nurses - Part Time: 2.69
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Full Time: 0.57
Certified Nurse Aides - Under Contract: 1.61
Medication Aides/ Technicians - Part Time: 2.24
Medication Aides/ Technicians - Full Time: 9.64

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.560
Maryland:

0.759
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.890
State:

0.899
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.460
State:

1.649
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.040
Maryland:

0.108
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.040
State:

0.112

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

22.2%
Maryland:

20.0%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

3.0%
State:

6.2%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

4.0%
Maryland:

7.7%
Percent of long-stay residents who lose too much weight
Here:

7.8%
State:

6.0%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

71.8%
State:

56.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

1.5%
State:

3.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

13.2%
Maryland:

6.0%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

3.4%
State:

4.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

4.0%
State:

1.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

3.2%
State:

2.7%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Maryland:

95.1%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

98.4%
State:

95.2%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

7.1%
State:

16.5%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.8%
Maryland:

1.3%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

93.9%
State:

86.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

90.4%
Maryland:

85.7%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

1.6%
Maryland:

2.8%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

18.3%
State:

19.2%

Complaint Deficiency

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Some (Potential for minimal harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Potential for minimal harm)

Dispose of garbage and refuse properly: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Potential for minimal harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Many (Potential for minimal harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Potential for minimal harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Potential for minimal harm)

Exit stairways and towers that are smoke proof: Many (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Some (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Few (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Few (Minimal harm or potential for actual harm)

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture: Some (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Many (Potential for minimal harm)

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Potential for minimal harm)

Portable fire extinguishers: Some (Potential for minimal harm)

Exits that are free from obstructions and can be used at all times: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Many (Potential for minimal harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Few (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Few (Minimal harm or potential for actual harm)

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