THE LIONS CENTER FOR REHAB AND EXT CARE - CUMBERLAND, MD

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Address

901 SETON DRIVE EXTENSION
CUMBERLAND, MD, 21502

Phone (make sure to verify first before calling): (301) 722-6272

Number of Certified Beds: 101
Total Number of Residents: 95
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.60
Administrative Staff - Part Time: 1.67
Certified Nurse Aides - Full Time: 30.31
Certified Nurse Aides - Part Time: 14.79
Dietitians - Under Contract: 0.07
Food Service Personnel - Full Time: 9.86
Food Service Personnel - Part Time: 6.11
Housekeeping Personnel - Full Time: 8.53
Licensed Practical/ Vocational Nurses - Full Time: 6.54
Licensed Practical/ Vocational Nurses - Part Time: 8.63
Medical Directors - Under Contract: 0.07
Nurses With Administrative Duties - Full Time: 3.63
Persons Not Included In Any Other Categories - Full Time: 4.09
Physical Therapists - Under Contract: 0.24
Registered Nurses - Full Time: 4.79
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.16
Occupational Therapists - Under Contract: 0.16
Speech Pathologists - Under Contract: 0.03
Persons Not Included In Any Other Categories - Part Time: 4.36
Registered Nurses - Part Time: 0.87
Occupational Therapy Assistants - Under Contract: 1.17
Housekeeping Personnel - Part Time: 2.46

Provided Services

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
Diagnostic Xray Services Are Provided Offsite 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 Offsite 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
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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.990
State:	0.759

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

Here:	0.400
Maryland:	0.899

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.390
Maryland:	1.649

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
State:	0.108

Number Therapy Hours Per Resident Per Day

Here:	0.010
State:	0.112

Quality Measures

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

Here:	14.3%
Maryland:	20.0%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	4.1%
Maryland:	6.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	6.1%
State:	7.7%

Percent of long-stay residents who lose too much weight

Here:	7.9%
Maryland:	6.0%

Percent of long-stay residents with a urinary tract infection

Here:	6.7%
State:	6.0%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.5%
State:	4.3%

Percent of long-stay residents who were physically restrained

Here:	6.7%
State:	1.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	3.3%
Maryland:	2.7%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Maryland:	95.2%

Percent of short-stay residents who self-report moderate to severe pain

Here:	21.9%
Maryland:	16.5%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	4.9%
Maryland:	1.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	96.6%
State:	86.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	94.7%
Maryland:	85.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	21.6%
Maryland:	19.2%

Complaint Deficiency

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: Many (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

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

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

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

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)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: 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)

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

Back-up procedures in place for a faulty automatic sprinkler system: Few (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Few (Minimal harm or potential for actual harm)

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

Corridor and hallway doors that block smoke: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Reasonably accommodate the needs and preferences of each resident: Some (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)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (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)

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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: 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)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

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

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

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

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

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

Conduct initial and periodic assessments of each resident's functional capacity: 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)

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 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)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

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

Automatic sprinkler systems that have been maintained in working order: Some (Potential for minimal harm)

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