US Nursing Home Finder: CARRIAGE HILL BETHESDA BETHESDA MD

General Information: CARRIAGE HILL BETHESDA
Nursing home name	CARRIAGE HILL BETHESDA
Address	5215 CEDAR LANE BETHESDA, MD 20814
Phone number	(301) 897-5500
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	108
Total number of residents	68
Perc of occupied beds	63
Sprinkler status	fully sprinklered
Last health survey date	01/15/2010
Fire survey date:	02/22/2010

Ratings Summary: CARRIAGE HILL BETHESDA
Overall rating	4 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	2 out of 5 stars
Health Inspections	4 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: CARRIAGE HILL BETHESDA
	National Average	CARRIAGE HILL BETHESDA
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	2 out of 5 stars
Total Number of Residents	94.2	68
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.18 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.51 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.67 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.51 hours

Health Inpections: CARRIAGE HILL BETHESDA
Inspection Results: 01/15/2010
Corrected	Category	Deficiency	Severity
02/28/2010	Administration Deficiencies	Follow all laws and professional standards.	D
02/28/2010	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
02/28/2010	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	B
Inspection Results: 12/17/2008
Corrected	Category	Deficiency	Severity
02/13/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
02/13/2009	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
02/13/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	D
02/13/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
02/13/2009	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
02/13/2009	Administration Deficiencies	Follow all laws and professional standards.	B
02/13/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
02/13/2009	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
02/13/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	B
12/19/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
02/13/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
Inspection Results: 01/04/2008
Corrected	Category	Deficiency	Severity
02/13/2008	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
02/13/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
02/13/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E

Fire Safety Inpections: CARRIAGE HILL BETHESDA
Inspection Results: 02/22/2010
Corrected	Category	Deficiency	Severity
03/12/2010	Electrical Deficiencies	properly installed electrical wiring and equipment.	F
03/12/2010	Electrical Deficiencies	weekly inspections and monthly testing of generators.	C
03/12/2010	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	D
03/12/2010	Building Service Equipment Deficiencies	restrictions on the use of portable space heaters.	D
03/12/2010	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	B
03/12/2010	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	C
03/12/2010	Interior Finish Deficiencies	fire-resistant room wall surfaces.	B
Inspection Results: 12/15/2008
Corrected	Category	Deficiency	Severity
01/31/2009	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	C
12/19/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	B
12/15/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	B
12/15/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	B
Inspection Results: 01/07/2008
Corrected	Category	Deficiency	Severity
02/29/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	B
02/29/2008	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	D
02/29/2008	Building Service Equipment Deficiencies	properly protected cooking facilities.	B
02/29/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	B
02/29/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	B
02/29/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	B

Resident Complaints: CARRIAGE HILL BETHESDA
Date Complaint Substantiated: 06/26/2009
Corrected	Category	Deficiency	Severity
08/10/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 06/16/2009
Corrected	Category	Deficiency	Severity
08/10/2009	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
08/10/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
08/10/2009	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
08/10/2009	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

Quality Measures: CARRIAGE HILL BETHESDA
Quality Measures	National Average	CARRIAGE HILL BETHESDA
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose need for help with daily activities has increased	14%	10%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	4%
Percent of long-stay residents who lose too much weight	8%	2%
Percent of high-risk long-stay residents who have pressure sores	11%	13%
Percent of long-stay residents who are more depressed or anxious	14%	6%
Percent of long-stay residents who have moderate to severe pain	3%	1%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	9%
Percent of low-risk long-stay residents who have pressure sores	2%	5%
Percent of long-stay residents who had a urinary tract infection	9%	15%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	4%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	61%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	16%
Percent of short-stay residents who have pressure sores	13%	6%
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%

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

US Nursing Home Finder™: CARRIAGE HILL BETHESDA BETHESDA MD