US Nursing Home Finder: DEANWOOD REHABILITATION AND WELLNESS CENTER WASHINGTON DC

General Information: DEANWOOD REHABILITATION AND WELLNESS CENTER
Nursing home name	DEANWOOD REHABILITATION AND WELLNESS CENTER
Address	5000 BURROUGHS AVE. NE WASHINGTON, DC 20019
Phone number	(202) 399-7504
Located within a hospital	No
Type of ownership	For profit - Partnership
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	296
Total number of residents	273
Perc of occupied beds	92
Sprinkler status	partially sprinklered
Last health survey date	04/09/2009
Fire survey date:	04/06/2009

Ratings Summary: DEANWOOD REHABILITATION AND WELLNESS CENTER
Overall rating	1 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	1 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	3 out of 5 stars

Nursing Home Staffing Info: DEANWOOD REHABILITATION AND WELLNESS CENTER
	National Average	DEANWOOD REHABILITATION AND WELLNESS CENTER
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	1 out of 5 stars
Total Number of Residents	94.2	273
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.48 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.21 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.27 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.21 hours

Health Inpections: DEANWOOD REHABILITATION AND WELLNESS CENTER
Inspection Results: 04/09/2009
Corrected	Category	Deficiency	Severity
07/15/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	E
05/22/2009	Administration Deficiencies	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.	D
05/22/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	D
07/15/2009	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	D
08/21/2009	Environmental Deficiencies	Keep all essential equipment working safely.	E
08/21/2009	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	D
05/22/2009	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	E
05/22/2009	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
07/15/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	D
07/15/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
05/22/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
05/22/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
05/22/2009	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
07/15/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
07/15/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
05/22/2009	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	D
05/22/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
07/15/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
05/22/2009	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
05/22/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
05/22/2009	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
05/22/2009	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	D
08/21/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
07/15/2009	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	D
08/21/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
05/22/2009	Resident Assessment Deficiencies	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.	D
08/21/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
07/15/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
05/14/2009	Resident Assessment Deficiencies	Assess the resident when the resident enters the nursing home, in a timely manner.	D
08/21/2009	Environmental Deficiencies	Provide needed housekeeping and maintenance.	D
05/18/2009	Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.	D
05/22/2009	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	D
05/22/2009	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	D
Inspection Results: 02/11/2008
Corrected	Category	Deficiency	Severity
04/09/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
04/09/2008	Administration Deficiencies	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.	F
05/29/2008	Administration Deficiencies	Follow all laws and professional standards.	F
04/09/2008	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	F
04/09/2008	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
04/09/2008	Environmental Deficiencies	Keep all essential equipment working safely.	F
05/29/2008	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	D
05/29/2008	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	D
05/14/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
05/14/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
04/09/2008	Quality Care Deficiencies	Give or get dental care for each resident.	D
04/09/2008	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	G
04/09/2008	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	D
04/09/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
04/09/2008	Nutrition and Dietary Deficiencies	Offer other nutritional food to each resident who will not eat the food served.	F
04/09/2008	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	F
04/09/2008	Nutrition and Dietary Deficiencies	Hire enough skilled workers to carry out dietary service.	F
04/09/2008	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	D
04/09/2008	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
05/14/2008	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	H
05/29/2008	Resident Assessment Deficiencies	Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	D
05/14/2008	Resident Assessment Deficiencies	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.	E
04/09/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
04/09/2008	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
04/09/2008	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
04/09/2008	Resident Assessment Deficiencies	Do an assessment of the resident every year.	D
04/09/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
05/14/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	F
05/14/2008	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	H
04/09/2008	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	D
04/09/2008	Resident Rights Deficiencies	Give enough notice to the resident before changing the resident's room or roommate.	D
04/09/2008	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
05/29/2008	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
04/09/2008	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	D
04/09/2008	Resident Rights Deficiencies	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	D
04/09/2008	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	E
Inspection Results: 04/05/2007
Corrected	Category	Deficiency	Severity
05/16/2007	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	E
05/16/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	D
05/16/2007	Administration Deficiencies	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.	E
06/15/2007	Administration Deficiencies	Follow all laws and professional standards.	F
05/16/2007	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	E
05/16/2007	Environmental Deficiencies	Have a program to keep infection from spreading.	E
05/16/2007	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
05/16/2007	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
05/16/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
05/16/2007	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	D
06/15/2007	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
05/16/2007	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	D
06/15/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
05/16/2007	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
06/15/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
05/16/2007	Resident Assessment Deficiencies	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.	D
06/15/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
05/16/2007	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
05/16/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E

Fire Safety Inpections: DEANWOOD REHABILITATION AND WELLNESS CENTER
Inspection Results: 04/06/2009
Corrected	Category	Deficiency	Severity
06/30/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
06/30/2009	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	E
Inspection Results: 02/11/2008
Corrected	Category	Deficiency	Severity
04/02/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	F
04/02/2008	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	E
04/02/2008	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	E
04/02/2008	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	E
Inspection Results: 04/02/2007
Corrected	Category	Deficiency	Severity
05/02/2007	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	D
05/02/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
05/02/2007	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	D

Resident Complaints: DEANWOOD REHABILITATION AND WELLNESS CENTER
Date Complaint Substantiated: 11/18/2009
Corrected	Category	Deficiency	Severity
11/20/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	D
11/20/2009	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
11/20/2009	Administration Deficiencies	Follow all laws and professional standards.	D
Date Complaint Substantiated: 11/16/2009
Corrected	Category	Deficiency	Severity
11/20/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 10/26/2009
Corrected	Category	Deficiency	Severity
11/20/2009	Administration Deficiencies	Follow all laws and professional standards.	D
Date Complaint Substantiated: 09/16/2009
Corrected	Category	Deficiency	Severity
10/24/2009	Resident Rights Deficiencies	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.	D
Date Complaint Substantiated: 07/26/2009
Corrected	Category	Deficiency	Severity
08/21/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
Date Complaint Substantiated: 04/15/2009
Corrected	Category	Deficiency	Severity
05/07/2009	Resident Rights Deficiencies	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.	D
Date Complaint Substantiated: 02/06/2009
Corrected	Category	Deficiency	Severity
02/19/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
02/19/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
02/19/2009	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	D
Date Complaint Substantiated: 09/24/2008
Corrected	Category	Deficiency	Severity
11/03/2008	Administration Deficiencies	Follow all laws and professional standards.	D
11/03/2008	Resident Assessment Deficiencies	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.	D
Date Complaint Substantiated: 09/23/2008
Corrected	Category	Deficiency	Severity
	Resident Assessment Deficiencies	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.	D
	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
03/05/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	D
03/05/2009	Administration Deficiencies	Follow all laws and professional standards.	D
01/08/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
03/05/2009	Administration Deficiencies	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.	D
03/05/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
01/08/2009	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	D
03/05/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	J
	Administration Deficiencies	Keep accurate and appropriate medical records.	D
Date Complaint Substantiated: 09/04/2008
Corrected	Category	Deficiency	Severity
	Environmental Deficiencies	Keep all essential equipment working safely.	C
Date Complaint Substantiated: 07/18/2008
Corrected	Category	Deficiency	Severity
08/27/2008	Environmental Deficiencies	Get rid of garbage properly.	F
Date Complaint Substantiated: 06/30/2008
Corrected	Category	Deficiency	Severity
09/08/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
09/08/2008	Administration Deficiencies	Follow all laws and professional standards.	D
09/08/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 02/08/2008
Corrected	Category	Deficiency	Severity
05/14/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
04/09/2008	Resident Rights Deficiencies	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.	D
05/14/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
Date Complaint Substantiated: 12/05/2007
Corrected	Category	Deficiency	Severity
01/02/2008	Environmental Deficiencies	Keep temperature levels comfortable and safe.	E
01/02/2008	Environmental Deficiencies	Keep all essential equipment working safely.	E
Date Complaint Substantiated: 06/26/2007
Corrected	Category	Deficiency	Severity
07/17/2007	Resident Rights Deficiencies	Protect the resident from a transfer or discharge that is not wanted or needed.	E
Date Complaint Substantiated: 03/16/2007
Corrected	Category	Deficiency	Severity
03/30/2007	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
03/30/2007	Administration Deficiencies	Follow all laws and professional standards.	D
03/30/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
Date Complaint Substantiated: 02/05/2007
Corrected	Category	Deficiency	Severity
02/27/2007	Mistreatment Deficiencies	1) Hire only people who have 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.	D
02/27/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	D
Date Complaint Substantiated: 01/16/2007
Corrected	Category	Deficiency	Severity
02/27/2007	Administration Deficiencies	Follow all laws and professional standards.	D
02/27/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	D
02/27/2007	Resident Rights Deficiencies	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.	D
Date Complaint Substantiated: 12/12/2006
Corrected	Category	Deficiency	Severity
01/16/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D

Quality Measures: DEANWOOD REHABILITATION AND WELLNESS CENTER
Quality Measures	National Average	DEANWOOD REHABILITATION AND WELLNESS CENTER
Overall quality rating	Not Available	3 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	3%
Percent of long-stay residents who have moderate to severe pain	3%	1%
Percent of long-stay residents who lose too much weight	8%	6%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	44%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	86%
Percent of long-stay residents who are more depressed or anxious	14%	2%
Percent of high-risk long-stay residents who have pressure sores	11%	15%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	1%
Percent of long-stay residents whose need for help with daily activities has increased	14%	19%
Percent of long-stay residents who were physically restrained	3%	1%
Percent of long-stay residents given influenza vaccination during the flu season	91%	89%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	10%
Percent of low-risk long-stay residents who have pressure sores	2%	2%
Percent of long-stay residents who had a urinary tract infection	9%	6%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	67%
Percent of short-stay residents who have pressure sores	13%	14%
Percent of short-stay residents who had moderate to severe pain	19%	11%
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	81%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: DEANWOOD REHABILITATION AND WELLNESS CENTER WASHINGTON DC