General Information: ALLEGANY HEALTH NURSING AND REHAB
Nursing home name ALLEGANY HEALTH NURSING AND REHAB
Address730 FURNACE STREET
CUMBERLAND, MD 21502
Phone number (301) 777-5941
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 153
Total number of residents 134
Perc of occupied beds 87
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ALLEGANY HEALTH NURSING AND REHAB
Overall rating 4
4
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: ALLEGANY HEALTH NURSING AND REHAB
National AverageMaryland AverageALLEGANY HEALTH NURSING AND REHAB
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 134
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 3.46 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.36 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.69 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.67 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.1 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.04 hours
Health Survey: ALLEGANY HEALTH NURSING AND REHAB
Heath Survey Summary on 2013-09-12
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-08-17
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-16
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: ALLEGANY HEALTH NURSING AND REHAB
Inspection Results: 09/12/2013
Corrected Deficiency Scope and Severity
11/12/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
11/12/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
11/12/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
11/12/2013 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
Inspection Results: 08/17/2012
Corrected Deficiency Scope and Severity
09/30/2012 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
09/30/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
09/30/2012 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
09/30/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
09/30/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
09/30/2012 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
09/30/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
09/30/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
Inspection Results: 06/16/2011
Corrected Deficiency Scope and Severity
08/05/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/05/2011 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
08/05/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/05/2011 Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated/Minimal harm or potential for actual harm
08/05/2011 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
08/05/2011 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
08/05/2011 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: ALLEGANY HEALTH NURSING AND REHAB
Fire Safety Survey Summary on 2013-09-19
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 2012-08-06
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2011-02-15
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: ALLEGANY HEALTH NURSING AND REHAB
Fire Safety Survey Results: 09/19/2013
Corrected Deficiency Severity
10/21/2013 Corridor and hallway doors that block smoke. Pattern/Potential for minimal harm
10/21/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
10/21/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
10/21/2013 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
10/21/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
10/21/2013 Exits that are free from obstructions and can be used at all times. Pattern/Potential for minimal harm
Fire Safety Survey Results: 08/06/2012
Corrected Deficiency Severity
09/07/2012 An approved automatic sprinkler system connected to the fire alarm system. Widespread/Potential for minimal harm
09/07/2012 Exits that are free from obstructions and can be used at all times. Widespread/Potential for minimal harm
09/07/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread/Potential for minimal harm
Fire Safety Survey Results: 02/15/2011
Corrected Deficiency Severity
04/29/2011 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
04/29/2011 Fire resistant room wall surfaces. Widespread/Potential for minimal harm
04/29/2011 An approved automatic sprinkler system connected to the fire alarm system. Widespread/Potential for minimal harm
04/29/2011 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
04/29/2011 No-smoking signs where oxygen is used. Widespread/Potential for minimal harm
04/29/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: ALLEGANY HEALTH NURSING AND REHAB
Date Complaint Substantiated: 01/20/2012
CorrectedCategoryDeficiencySeverity
03/01/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
03/01/2012Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
03/01/2012Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D

Quality Measures: ALLEGANY HEALTH NURSING AND REHAB
Quality Measures National Average Maryland Average ALLEGANY HEALTH NURSING AND REHAB
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 18.1% 17.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 2.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 2.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 5.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 68.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 1.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 12.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 10.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 1.2%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 5.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 99.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 99.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 27.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 15.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 94.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 96.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.9%

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