General Information: AUGSBURG LUTHERAN HOME
Nursing home name AUGSBURG LUTHERAN HOME
Address6811 CAMPFIELD ROAD
BALTIMORE, MD 21207
Phone number (410) 486-4573
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Both
Certified number of beds 129
Total number of residents 129
Perc of occupied beds 100
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: AUGSBURG LUTHERAN HOME
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: AUGSBURG LUTHERAN HOME
National AverageMaryland AverageAUGSBURG LUTHERAN HOME
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 129
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 3.54 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 0.98 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.6 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.38 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.56 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.01 hours
Health Survey: AUGSBURG LUTHERAN HOME
Heath Survey Summary on 2013-08-09
Total Number of Health Deficiencies 14
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-22
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-28
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: AUGSBURG LUTHERAN HOME
Inspection Results: 08/09/2013
Corrected Deficiency Scope and Severity
09/16/2013 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
09/16/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
09/16/2013 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
09/16/2013 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern/Minimal harm or potential for actual harm
09/16/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
09/16/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
09/16/2013 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
09/16/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
09/16/2013 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Minimal harm or potential for actual harm
09/16/2013 Keep all essential equipment working safely. Widespread /Minimal harm or potential for actual harm
09/16/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
09/16/2013 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. Isolated/Minimal harm or potential for actual harm
09/16/2013 Hire sufficient dietary support personnel. Pattern/Minimal harm or potential for actual harm
09/16/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 05/22/2012
Corrected Deficiency Scope and Severity
06/14/2012 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
06/14/2012 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: 04/28/2011
Corrected Deficiency Scope and Severity
06/10/2011 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
05/03/2011 Completely assess the resident at least every twelve months. Isolated/Minimal harm or potential for actual harm
06/01/2011 Provide housekeeping and maintenance services. Widespread/Potential for minimal harm
05/16/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/10/2011 Provide routine and 24-hour emergency dental care for each resident. Isolated/Minimal harm or potential for actual harm
06/01/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread/Potential for minimal harm
06/01/2011 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: AUGSBURG LUTHERAN HOME
Fire Safety Survey Summary on 2013-09-25
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-27
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-05-18
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: AUGSBURG LUTHERAN HOME
Fire Safety Survey Results: 09/25/2013
Corrected Deficiency Severity
11/01/2013 Fire resistant interior walls. Pattern/Potential for minimal harm
11/01/2013 Corridor and hallway doors that block smoke. Widespread/Potential for minimal harm
11/01/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread/Potential for minimal harm
11/01/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
11/01/2013 Properly constructed linen or trash chutes. Isolated/Minimal harm or potential for actual harm
11/01/2013 No-smoking signs where oxygen is used. Widespread/Potential for minimal harm
Fire Safety Survey Results: 06/27/2012
Corrected Deficiency Severity
08/14/2012 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
08/14/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
08/14/2012 Other fire safety features required by fire safety codes. Pattern/Minimal harm or potential for actual harm
08/14/2012 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
08/14/2012 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Isolated/Minimal harm or potential for actual harm
08/14/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
08/14/2012 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/18/2011
Corrected Deficiency Severity
07/01/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Widespread/Potential for minimal harm
07/01/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm
08/01/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
07/01/2011 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
07/01/2011 Properly constructed linen or trash chutes. Isolated/Minimal harm or potential for actual harm
07/01/2011 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
07/01/2011 Properly installed electrical wiring and equipment. Pattern/Potential for minimal harm

Resident Complaints: AUGSBURG LUTHERAN HOME
Date Complaint Substantiated: 10/18/2012
CorrectedCategoryDeficiencySeverity
11/30/2012Provide or obtain laboratory services only when ordered by the attending physician. D
Date Complaint Substantiated: 04/03/2012
CorrectedCategoryDeficiencySeverity
06/07/2012Provide housekeeping and maintenance services. C
06/07/2012Provide adequate and comfortable lighting levels in all areas. C

Quality Measures: AUGSBURG LUTHERAN HOME
Quality Measures National Average Maryland Average AUGSBURG LUTHERAN HOME
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% 9.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 1.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 6.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 6.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 52.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 4.8%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 2.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 0.6%
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% 2.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 63.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 99.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 9.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 3.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 1.1%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 53.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 95.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.6%

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