General Information: ARCOLA HEALTH AND REHABILITATION CENTER
Nursing home name ARCOLA HEALTH AND REHABILITATION CENTER
Address901 ARCOLA AVENUE
SILVER SPRING, MD 20902
Phone number (301) 649-2400
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 158
Total number of residents 136
Perc of occupied beds 86
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints3
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ARCOLA HEALTH AND REHABILITATION CENTER
Overall rating 4
4
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: ARCOLA HEALTH AND REHABILITATION CENTER
National AverageMaryland AverageARCOLA HEALTH AND REHABILITATION CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 136
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 4.28 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.44 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.46 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.98 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.83 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.08 hours
Health Survey: ARCOLA HEALTH AND REHABILITATION CENTER
Heath Survey Summary on 2013-11-15
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-20
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-03
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: ARCOLA HEALTH AND REHABILITATION CENTER
Inspection Results: 11/15/2013
Corrected Deficiency Scope and Severity
12/17/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
12/17/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/17/2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
12/17/2013 Post nurse staffing information/data on a daily basis. Pattern/Potential for minimal harm
12/17/2013 Hire sufficient dietary support personnel. Widespread/Potential for minimal harm
12/17/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
12/17/2013 Make sure that doctors visit residents regularly, as required. Pattern/Potential for minimal harm
12/17/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
12/17/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/20/2012
Corrected Deficiency Scope and Severity
12/20/2012 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
12/20/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/20/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
12/20/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/03/2011
Corrected Deficiency Scope and Severity
12/15/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
12/15/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Potential for minimal harm
12/15/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: ARCOLA HEALTH AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-11-20
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-20
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-11-03
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: ARCOLA HEALTH AND REHABILITATION CENTER
Fire Safety Survey Results: 11/20/2013
Corrected Deficiency Severity
01/14/2014 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
01/14/2014 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm

Resident Complaints: ARCOLA HEALTH AND REHABILITATION CENTER
Date Complaint Substantiated: 06/17/2013
CorrectedCategoryDeficiencySeverity
07/26/2013Provide housekeeping and maintenance services. D
07/26/2013Store, cook, and serve food in a safe and clean way. F
Date Complaint Substantiated: 09/26/2012
CorrectedCategoryDeficiencySeverity
11/01/2012Permit residents to remain in the facility and not be transferred or discharged without adequate reason. D
Date Complaint Substantiated: 11/08/2011
CorrectedCategoryDeficiencySeverity
1) Hire only people with 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. B

Quality Measures: ARCOLA HEALTH AND REHABILITATION CENTER
Quality Measures National Average Maryland Average ARCOLA HEALTH AND REHABILITATION CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 18.1% 18.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 4.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 13.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 7.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 47.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 0.8%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 7.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 1.6%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 3.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 96.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 98.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 12.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 9.8%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 3.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 95.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 89.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 3.3%

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