DEANWOOD REHABILITATION AND WELLNESS CENTER - WASHINGTON, DC

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DEANWOOD REHABILITATION AND WELLNESS CENTER
5000 BURROUGHS AVE. NE
WASHINGTON, DC, 20019

Phone (make sure to verify first before calling): (202) 399-7504

Number of Certified Beds: 296
Total Number of Residents: 267
Percent of Occupied Beds: 90%
Sprinkler Status: Partially sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.64
Certified Nurse Aides - Full Time: 109.89
Certified Nurse Aides - Part Time: 12.16
Food Service Personnel - Full Time: 14.13
Food Service Personnel - Part Time: 14.50
Licensed Practical/ Vocational Nurses - Full Time: 60.99
Licensed Practical/ Vocational Nurses - Part Time: 6.47
Medical Directors - Under Contract: 0.29
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 10.29
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 6.51
Rn Director Of Nursing - Full Time: 1.14
Dentists - Under Contract: 0.11
Nurses With Administrative Duties - Part Time: 0.39
Occupational Therapists - Under Contract: 1.57
Pharmacists - Under Contract: 0.11
Persons Not Included In Any Other Categories - Under Contract: 4.50
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 1.14
Housekeeping Personnel - Under Contract: 19.03
Other Physicians - Under Contract: 0.14
Dietitians - Full Time: 2.29
Registered Nurses - Part Time: 4.29
Occupational Therapy Assistants - Under Contract: 0.91
Social Workers - Part Time: 0.23
Physical Therapy Aide - Under Contract: 1.14
Physician Extenders - Part Time: 0.34

Provided Services

Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Other Social Services Are Provided Onsite To Nonresidents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.280
State:	0.604

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.460
State:	1.176

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.740
District of Columbia:	1.780

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	3.270
State:	2.479

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

Here:	88.0%
District of Columbia:	87.8%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

Here:	83.0%
District of Columbia:	76.9%

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	20.0%
State:	11.9%

Percent of long-stay residents who have moderate to severe pain

This Nursing Home:	2.0%
State:	0.6%

Percent of high-risk long-stay residents who have pressure sores

This Nursing Home:	19.0%
District of Columbia:	11.8%

Percent of low-risk long-stay residents who have pressure sores

This Nursing Home:	3.0%
State:	0.6%

Percent of long-stay residents who were physically restrained

Here:	2.0%
District of Columbia:	1.4%

Percent of long-stay residents who are more depressed or anxious

Here:	7.0%
State:	5.7%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	54.0%
State:	57.4%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

Here:	2.0%
District of Columbia:	2.9%

Percent of long-stay residents whose ability to move about in and around their room got worse

Here:	13.0%
State:	8.2%

Percent of long-stay residents who had a urinary tract infection

Here:	7.0%
State:	6.9%

Percent of long-stay residents who lose too much weight

Here:	7.0%
District of Columbia:	6.4%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	77.0%
State:	71.6%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

Here:	92.0%
District of Columbia:	57.4%

Percent of short-stay residents who have delirium

This Nursing Home:	1.0%
State:	1.5%

Percent of short-stay residents who had moderate to severe pain

This Nursing Home:	12.0%
State:	10.7%

Percent of short-stay residents who have pressure sores

Here:	16.0%
District of Columbia:	12.5%

Complaint Deficiency

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Isolated (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

Get rid of garbage properly: Widespread (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Widespread (Potential for minimal harm)

Make sure that doctors visit residents regularly, as required: Isolated (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Isolated (Minimal harm or potential for actual harm)

Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor: Isolated (Minimal harm or potential for actual harm)

Make sure that each resident's nutritional needs were met: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Immediate jeopardy to resident health or safety)

Provide social services for related medical problems to help each resident achieve the highest possible quality of life: Isolated (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: Isolated (Minimal harm or potential for actual harm)

1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan: Isolated (Minimal harm or potential for actual harm)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Pattern (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

Be administered in a way that leads to the highest possible level of well being for each resident: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Isolated (Minimal harm or potential for actual harm)

1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Isolated (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist check the drugs that each resident takes: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Isolated (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Isolated (Minimal harm or potential for actual harm)

Follow all laws and professional standards: Widespread (Immediate jeopardy to resident health or safety)

Be administered in a way that leads to the highest possible level of well being for each resident: Isolated (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Widespread (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free of dangers that cause accidents: Widespread (Immediate jeopardy to resident health or safety)

Protect residents from mistreatment, neglect, and/or theft of personal property: Isolated (Immediate jeopardy to resident health or safety)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Pattern (Immediate jeopardy to resident health or safety)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Be administered in a way that leads to the highest possible level of well being for each resident: Pattern (Immediate jeopardy to resident health or safety)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Pattern (Immediate jeopardy to resident health or safety)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

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