General Information: REEDERS MEMORIAL HOME
Nursing home name REEDERS MEMORIAL HOME
Address141 SOUTH MAIN STREET
BOONSBORO, MD 21713
Phone number (301) 432-5457
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 157
Total number of residents 129
Perc of occupied beds 82
Sprinkler status Yes
Number of Facility Reported Incidents9
Number of Substantiated Complaints19
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties1
Total Number of Penalties1
Ratings Summary: REEDERS MEMORIAL HOME
Overall rating 1
1
Nursing Home Staffing 2
2
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 2
2
Nursing Home Staffing Info: REEDERS MEMORIAL HOME
National AverageMaryland AverageREEDERS MEMORIAL HOME
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 129
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 3.4 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.34 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.54 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.8 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.06 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.07 hours
Health Survey: REEDERS MEMORIAL HOME
Heath Survey Summary on 2013-12-12
Total Number of Health Deficiencies 27
Scope and Severity of most Severe Health Deficiency Isolated /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2012-11-15
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-08-05
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: REEDERS MEMORIAL HOME
Inspection Results: 12/12/2013
Corrected Deficiency Scope and Severity
01/23/2014 Keep residents' personal and medical records private and confidential. Widespread /Minimal harm or potential for actual harm
01/23/2014 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
01/23/2014 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. Isolated/Minimal harm or potential for actual harm
04/07/2014 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
01/23/2014 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern/Minimal harm or potential for actual harm
01/23/2014 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
01/23/2014 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
01/23/2014 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
01/23/2014 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
04/07/2014 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
03/07/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
01/23/2014 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated /Immediate jeopardy to resident health or safety
01/23/2014 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. Isolated/Minimal harm or potential for actual harm
01/23/2014 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
04/07/2014 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
04/07/2014 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
01/23/2014 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
04/07/2014 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
01/23/2014 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
04/07/2014 Keep all essential equipment working safely. Pattern/Minimal harm or potential for actual harm
04/07/2014 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
04/07/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm
01/23/2014 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
01/23/2014 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Pattern/Minimal harm or potential for actual harm
01/23/2014 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
Inspection Results: 11/15/2012
Corrected Deficiency Scope and Severity
12/14/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
12/14/2012 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
12/14/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
12/14/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/14/2012 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
12/14/2012 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
12/14/2012 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. Isolated/Minimal harm or potential for actual harm
12/14/2012 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
12/14/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/05/2011
Corrected Deficiency Scope and Severity
09/30/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
09/30/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
09/30/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
09/30/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
09/30/2011 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
09/30/2011 Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residents clinical condition. Pattern/Minimal harm or potential for actual harm
09/30/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
09/30/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
09/30/2011 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
09/30/2011 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Isolated/Minimal harm or potential for actual harm
09/30/2011 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated/Minimal harm or potential for actual harm
09/30/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Isolated/Minimal harm or potential for actual harm
09/30/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: REEDERS MEMORIAL HOME
Fire Safety Survey Summary on 2013-12-27
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-19
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2011-06-27
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: REEDERS MEMORIAL HOME
Fire Safety Survey Results: 12/27/2013
Corrected Deficiency Severity
01/24/2014 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Potential for minimal harm
01/24/2014 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
01/24/2014 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
01/24/2014 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
01/24/2014 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
01/24/2014 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/19/2012
Corrected Deficiency Severity
12/15/2012 Properly protected cooking facilities. Pattern/Potential for minimal harm
12/15/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Potential for minimal harm
12/15/2012 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
12/15/2012 Other fire safety features required by fire safety codes. Widespread/Potential for minimal harm
12/15/2012 Properly installed electrical wiring and equipment. Pattern/Potential for minimal harm
Fire Safety Survey Results: 06/27/2011
Corrected Deficiency Severity
07/02/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/27/2011 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
06/27/2011 Properly installed electrical wiring and equipment. Widespread /Minimal harm or potential for actual harm

Resident Complaints: REEDERS MEMORIAL HOME
Date Complaint Substantiated: 03/08/2014
CorrectedCategoryDeficiencySeverity
03/09/2014Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 01/30/2014
CorrectedCategoryDeficiencySeverity
03/06/2014Provide necessary care and services to maintain or improve the highest well being of each resident . G
Date Complaint Substantiated: 12/12/2013
CorrectedCategoryDeficiencySeverity
01/23/2014Protect each resident from all abuse, physical punishment, and involuntary separation from others. H
Date Complaint Substantiated: 03/26/2013
CorrectedCategoryDeficiencySeverity
05/15/2013Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. B
Date Complaint Substantiated: 10/19/2012
CorrectedCategoryDeficiencySeverity
12/05/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
12/05/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. B
Date Complaint Substantiated: 05/21/2012
CorrectedCategoryDeficiencySeverity
07/17/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
07/17/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
07/17/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
07/17/2012Ensure that residents are safe from serious medication errors. D
Date Complaint Substantiated: 01/24/2012
CorrectedCategoryDeficiencySeverity
02/29/20121) 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. D
02/29/2012At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D

Quality Measures: REEDERS MEMORIAL HOME
Quality Measures National Average Maryland Average REEDERS MEMORIAL HOME
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 18.1% 23.7%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 13.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 5.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 4.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 33.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 3.5%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 6.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 5.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 3.1%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 6.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 96.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 94.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 12.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 14.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 3.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 84.5%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 80.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.2%

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