General Information: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Nursing home name BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Address4017 LIBERTY HEIGHTS AVE.
BALTIMORE, MD 21207
Phone number (410) 542-5306
Located within a hospital No
Type of ownership For profit - Limited Liability company
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 106
Total number of residents 77
Perc of occupied beds 72
Sprinkler status Yes
Number of Facility Reported Incidents4
Number of Substantiated Complaints5
Number of Fines1
Total Amount of Fines$68900
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Overall rating 2
2
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
National AverageMaryland AverageBRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 77
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 4.68 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 2.3 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 1.03 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 1.26 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.38 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.07 hours
Health Survey: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Heath Survey Summary on 2013-06-21
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-08-20
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-08-18
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Inspection Results: 06/21/2013
Corrected Deficiency Scope and Severity
08/04/2013 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
08/04/2013 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. Isolated/Minimal harm or potential for actual harm
08/04/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
08/04/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/04/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/04/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
08/04/2013 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
08/04/2013 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
08/04/2013 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
08/04/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/20/2012
Corrected Deficiency Scope and Severity
10/05/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
10/05/2012 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
10/05/2012 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
10/05/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/05/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
10/05/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
10/05/2012 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
10/05/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
08/20/2012 Assure that each residents assessment is updated at least once every 3 months. Isolated/Minimal harm or potential for actual harm
10/05/2012 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
10/05/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
10/05/2012 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
Inspection Results: 08/18/2011
Corrected Deficiency Scope and Severity
11/04/2011 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
11/04/2011 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
11/04/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
11/04/2011 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern/Minimal harm or potential for actual harm
11/04/2011 Provide food in a way that meets a resident's needs. Pattern/Minimal harm or potential for actual harm
11/04/2011 Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated/Minimal harm or potential for actual harm
11/04/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
11/04/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Fire Safety Survey Summary on 2013-11-26
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-11
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-15
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Fire Safety Survey Results: 11/26/2013
Corrected Deficiency Severity
01/27/2014 Exit stairways and towers that are smoke proof. Pattern/Minimal harm or potential for actual harm
01/27/2014 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
01/27/2014 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
01/27/2014 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
01/27/2014 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
01/27/2014 Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
01/27/2014 Properly sized and located linen or trash receptacles. Isolated/Minimal harm or potential for actual harm
01/27/2014 Properly constructed piped-in oxygen systems. Isolated/Minimal harm or potential for actual harm
01/27/2014 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/11/2012
Corrected Deficiency Severity
10/16/2012 Fire resistant interior walls. Widespread/Potential for minimal harm
10/16/2012 Fire resistant room wall surfaces. Widespread/Potential for minimal harm
10/16/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
10/16/2012 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
10/16/2012 A properly installed and maintained dumbwaiter or escalator. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/15/2011
Corrected Deficiency Severity
10/30/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
10/30/2011 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
10/30/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
10/30/2011 Other fire safety features required by fire safety codes. Pattern/Minimal harm or potential for actual harm

Resident Complaints: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Date Complaint Substantiated: 03/11/2014
CorrectedCategoryDeficiencySeverity
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. B
Date Complaint Substantiated: 10/16/2013
CorrectedCategoryDeficiencySeverity
01/07/2014Ensure services provided by the nursing facility meet professional standards of quality. D
12/03/20131) 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
12/03/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
01/07/2014Provide necessary care and services to maintain or improve the highest well being of each resident . G
12/03/2013Tell the attending physician the results of x-rays and other tests, in a timely manner. D
12/03/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 03/07/2013
CorrectedCategoryDeficiencySeverity
04/21/2013Ensure residents maintain acceptable nutritional status. D
04/21/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 02/15/2012
CorrectedCategoryDeficiencySeverity
02/15/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 09/08/2011
CorrectedCategoryDeficiencySeverity
10/15/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
10/15/2011Reasonably accommodate the needs and preferences of each resident. D
10/15/2011Store, cook, and serve food in a safe and clean way. F
10/15/2011Operate and provide services according to Federal, State, and local laws and professional standards. F
10/15/2011Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. F

Quality Measures: BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
Quality Measures National Average Maryland Average BRIDGEPARK HEALTHCARE CENTER - FRM LIBERTY HEIGHTS
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% 13.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 0.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 9.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 5.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 40.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 1.1%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 2.4%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 0.0%
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% 0.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 81.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 86.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 23.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 4.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 74.5%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 59.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.5%

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