General Information: BEL PRE HEALTH & REHABILITATION CENTER
Nursing home name BEL PRE HEALTH & REHABILITATION CENTER
Address2601 BEL PRE ROAD
SILVER SPRING, MD 20906
Phone number (301) 598-6000
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 100
Total number of residents 79
Perc of occupied beds 79
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints10
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BEL PRE HEALTH & REHABILITATION CENTER
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: BEL PRE HEALTH & REHABILITATION CENTER
National AverageMaryland AverageBEL PRE HEALTH & REHABILITATION CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 79
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 3.73 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.66 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.59 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 1.07 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.07 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.07 hours
Health Survey: BEL PRE HEALTH & REHABILITATION CENTER
Heath Survey Summary on 2013-04-11
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-12
Total Number of Health Deficiencies 22
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-31
Total Number of Health Deficiencies 22
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: BEL PRE HEALTH & REHABILITATION CENTER
Inspection Results: 04/11/2013
Corrected Deficiency Scope and Severity
05/20/2013 Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern/Minimal harm or potential for actual harm
05/20/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
05/20/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Pattern/Minimal harm or potential for actual harm
05/20/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
05/20/2013 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
05/20/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
05/20/2013 Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated/Minimal harm or potential for actual harm
05/20/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
05/20/2013 Evaluate a residents decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. Isolated/Minimal harm or potential for actual harm
05/20/2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
05/20/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm
05/20/2013 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
05/20/2013 Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/12/2012
Corrected Deficiency Scope and Severity
05/27/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
05/27/2012 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
05/27/2012 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
05/27/2012 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern/Potential for minimal harm
05/27/2012 Keep residents' personal and medical records private and confidential. Pattern/Potential for minimal harm
05/27/2012 Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern/Minimal harm or potential for actual harm
05/27/2012 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
05/27/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Pattern/Minimal harm or potential for actual harm
05/27/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
05/27/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Potential for minimal harm
05/27/2012 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
05/27/2012 Operate and provide services according to Federal, State, and local laws and professional standards. Pattern/Minimal harm or potential for actual harm
05/27/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Potential for minimal harm
05/27/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
05/27/2012 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern/Potential for minimal harm
05/27/2012 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
05/27/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
05/27/2012 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
05/27/2012 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
05/27/2012 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. Pattern/Potential for minimal harm
05/27/2012 Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated/Minimal harm or potential for actual harm
05/27/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
Inspection Results: 03/31/2011
Corrected Deficiency Scope and Severity
05/23/2011 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
05/23/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
05/23/2011 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
05/23/2011 Give residents a notice of rights, rules, services and charges. Pattern/Minimal harm or potential for actual harm
05/23/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
05/23/2011 Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern/Potential for minimal harm
05/23/2011 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
05/23/2011 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
05/23/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
05/23/2011 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
05/23/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
05/23/2011 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
05/23/2011 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
05/23/2011 Develop policies and procedures for influenza and pneumococcal immunizations. Pattern/Potential for minimal harm
05/23/2011 Provide special eating equipment and utensils for each resident who needs them. Pattern/Potential for minimal harm
05/23/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/23/2011 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern/Potential for minimal harm
05/23/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
05/23/2011 Have enough backup water supply for essential areas of the nursing home. Widespread/Potential for minimal harm
05/23/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Pattern/Potential for minimal harm
05/23/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Potential for minimal harm
05/23/2011 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BEL PRE HEALTH & REHABILITATION CENTER
Fire Safety Survey Summary on 2013-04-10
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-19
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-03-22
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BEL PRE HEALTH & REHABILITATION CENTER
Fire Safety Survey Results: 04/10/2013
Corrected Deficiency Severity
05/10/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
05/10/2013 Portable fire extinguishers. Pattern/Minimal harm or potential for actual harm
05/10/2013 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Potential for minimal harm
05/10/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
05/10/2013 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
05/10/2013 Other fire safety features required by fire safety codes. Pattern/Minimal harm or potential for actual harm
05/10/2013 Properly installed electrical wiring and equipment. Pattern/Potential for minimal harm
Fire Safety Survey Results: 06/19/2012
Corrected Deficiency Severity
07/16/2012 Portable fire extinguishers. Pattern/Potential for minimal harm
07/16/2012 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm
07/16/2012 Proper medical gas storage and administration areas. Widespread/Potential for minimal harm
07/16/2012 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
07/16/2012 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
07/16/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
07/16/2012 Emergency lighting that can last at least 1 1/2 hours. Widespread/Potential for minimal harm
07/16/2012 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/22/2011
Corrected Deficiency Severity
05/04/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
05/04/2011 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
05/04/2011 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
05/04/2011 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
05/04/2011 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
05/04/2011 Portable fire extinguishers. Widespread/Potential for minimal harm
05/04/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
05/04/2011 A properly installed and maintained dumbwaiter or escalator. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BEL PRE HEALTH & REHABILITATION CENTER
Date Complaint Substantiated: 02/26/2013
CorrectedCategoryDeficiencySeverity
03/13/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 06/07/2012
CorrectedCategoryDeficiencySeverity
07/08/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
Date Complaint Substantiated: 03/06/2012
CorrectedCategoryDeficiencySeverity
03/15/2012Store, cook, and serve food in a safe and clean way. C
03/29/2012Train all employees on what to do in an emergency, and carry out unannounced staff drills. C
03/08/2012Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D
03/14/2012Have enough outside ventilation via a window or mechanical ventilation, or both. C
03/15/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. C
03/15/2012Provide housekeeping and maintenance services. C
Date Complaint Substantiated: 10/04/2011
CorrectedCategoryDeficiencySeverity
11/01/2011Provide necessary care and services to maintain or improve the highest well being of each resident . B
11/01/2011Ensure services provided by the nursing facility meet professional standards of quality. B
11/01/2011At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. B
11/01/2011Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D

Quality Measures: BEL PRE HEALTH & REHABILITATION CENTER
Quality Measures National Average Maryland Average BEL PRE HEALTH & REHABILITATION CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 18.1% 16.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 5.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 3.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 4.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 49.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 0.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 1.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 1.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 1.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 0.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 97.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 98.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 20.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 20.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.8%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 86.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 81.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.7%

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