| General Information: BRIGHTWOOD CENTER | |
|---|---|
| Nursing home name | BRIGHTWOOD CENTER |
| Address | 515 BRIGHTFIELD ROAD LUTHERVILLE, MD 21093 |
| Phone number | (410) 296-1990 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | BOTH |
| Certified number of beds | 110 |
| Total number of residents | 97 |
| Perc of occupied beds | 88 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 01/09/2009 |
| Fire survey date: | 01/09/2009 |
| Ratings Summary: BRIGHTWOOD CENTER | |
|---|---|
| Overall rating |
4 out of 5 stars |
| Nursing Home Staffing |
4 out of 5 stars |
| Registered Nurses only |
5 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
3 out of 5 stars |
| Nursing Home Staffing Info: BRIGHTWOOD CENTER | ||
|---|---|---|
| National Average | BRIGHTWOOD CENTER | |
| Overall staff rating | Not Available. |
4 out of 5 stars |
| Registered Nurses only rating | Not Available |
5 out of 5 stars |
| Total Number of Residents | 94.2 | 97 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 2.53 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 1.44 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 1.09 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 1.44 hours |
| Health Inpections: BRIGHTWOOD CENTER | |||
|---|---|---|---|
| Inspection Results: 01/09/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 03/20/2009 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 03/20/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| Inspection Results: 11/02/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/24/2007 | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 12/24/2007 | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | B |
| 12/24/2007 | Environmental Deficiencies | Keep all essential equipment working safely. | D |
| 12/24/2007 | Administration Deficiencies | Follow all laws and professional standards. | D |
| 12/24/2007 | Resident Assessment Deficiencies | Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | D |
| 12/24/2007 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | D |
| 12/24/2007 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 12/24/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 12/24/2007 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Inspection Results: 08/24/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 10/24/2006 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | D |
| 10/24/2006 | Environmental Deficiencies | Keep all essential equipment working safely. | D |
| 10/24/2006 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 10/24/2006 | Environmental Deficiencies | Keep a resident apart from the others if the resident has an infection that can spread. | D |
| 10/24/2006 | Environmental Deficiencies | Have a program to keep infection from spreading. | E |
| 10/24/2006 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 10/24/2006 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | D |
| 10/24/2006 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
| 10/24/2006 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 10/24/2006 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 10/24/2006 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
| 10/24/2006 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 10/24/2006 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 10/24/2006 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 10/24/2006 | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | D |
| 10/24/2006 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 10/24/2006 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Fire Safety Inpections: BRIGHTWOOD CENTER | |||
|---|---|---|---|
| Inspection Results: 01/09/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/02/2009 | Medical Gases and Anesthetizing Areas Deficiencies | proper fire barriers, ventilation and signs for the transport of oxygen. | E |
| 03/06/2009 | Medical Gases and Anesthetizing Areas Deficiencies | proper medical gas storage and administration areas. | E |
| 03/06/2009 | Building Service Equipment Deficiencies | properly constructed linen or trash chutes. | D |
| 04/02/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | D |
| Resident Complaints: BRIGHTWOOD CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 11/23/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 01/13/2010 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| Date Complaint Substantiated: 10/30/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 11/14/2008 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | D |
| Date Complaint Substantiated: 08/18/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 09/22/2008 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 09/22/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| Date Complaint Substantiated: 06/23/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/10/2008 | Mistreatment Deficiencies | 1) Hire only people who have 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 |
| Date Complaint Substantiated: 09/24/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 10/15/2007 | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
| Date Complaint Substantiated: 06/26/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 07/16/2007 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Date Complaint Substantiated: 04/03/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 05/18/2007 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | D |
| 05/18/2007 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| 05/18/2007 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 05/18/2007 | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | D |
| Date Complaint Substantiated: 02/08/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 03/23/2007 | Resident Assessment Deficiencies | Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | B |
| 03/23/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| Quality Measures: BRIGHTWOOD CENTER | ||
|---|---|---|
| Quality Measures | National Average | BRIGHTWOOD CENTER |
| Overall quality rating | Not Available |
3 out of 5 stars |
| Long-Stay Residents | ||
| Percent of low-risk long-stay residents who have pressure sores | 2% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 9% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 59% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 76% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 72% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 15% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 2% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 20% |
| Percent of long-stay residents who lose too much weight | 8% | 3% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 10% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 12% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 4% |
| Short-Stay Residents | ||
| Percent of short-stay residents who had moderate to severe pain | 19% | 5% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 74% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 90% |
| Percent of short-stay residents who have pressure sores | 13% | 30% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |