General Information: BEDFORD COURT HEALTHCARE CENT.
Nursing home name BEDFORD COURT HEALTHCARE CENT.
Address3701 INTERNATIONAL DRIVE
SILVER SPRING, MD 20906
Phone number (301) 598-2900
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Resident
Certified number of beds 60
Total number of residents 45
Perc of occupied beds 75
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BEDFORD COURT HEALTHCARE CENT.
Overall rating 3
3
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: BEDFORD COURT HEALTHCARE CENT.
National AverageMaryland AverageBEDFORD COURT HEALTHCARE CENT.
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 45
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 3.55 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.54 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.71 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.83 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.02 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.25 hours
Health Survey: BEDFORD COURT HEALTHCARE CENT.
Heath Survey Summary on 2013-08-15
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-21
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 2011-09-21
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: BEDFORD COURT HEALTHCARE CENT.
Inspection Results: 08/15/2013
Corrected Deficiency Scope and Severity
09/04/2013 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
09/04/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
09/04/2013 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
09/04/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
09/04/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread/Potential for minimal harm
09/04/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
09/04/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread/Potential for minimal harm
Inspection Results: 09/21/2012
Corrected Deficiency Scope and Severity
10/26/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
10/26/2012 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
10/26/2012 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
10/26/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Potential for minimal harm
Inspection Results: 09/21/2011
Corrected Deficiency Scope and Severity
12/19/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
12/08/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
12/19/2011 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
12/08/2011 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
12/19/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
12/08/2011 Encode each residents assessment data and transmit these data to the State within 7 days of assessment. Pattern/Potential for minimal harm
12/08/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
12/19/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
12/19/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
12/19/2011 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
12/19/2011 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
12/08/2011 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
12/19/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Pattern/Minimal harm or potential for actual harm
12/19/2011 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
12/08/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Potential for minimal harm

Fire Safety Survey: BEDFORD COURT HEALTHCARE CENT.
Fire Safety Survey Summary on 2013-08-22
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-21
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-12-19
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: BEDFORD COURT HEALTHCARE CENT.
Fire Safety Survey Results: 08/22/2013
Corrected Deficiency Severity
09/18/2013 Fire resistant room wall surfaces. Widespread/Potential for minimal harm
09/18/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
09/18/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/19/2011
Corrected Deficiency Severity
01/31/2012 Fire resistant room wall surfaces. Isolated/Minimal harm or potential for actual harm
01/31/2012 Corridor and hallway doors that block smoke. Widespread/Potential for minimal harm
01/31/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
01/31/2012 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BEDFORD COURT HEALTHCARE CENT.
Date Complaint Substantiated: 05/21/2013
CorrectedCategoryDeficiencySeverity
06/10/2013Try to resolve each resident's complaints quickly. D
Date Complaint Substantiated: 06/27/2012
CorrectedCategoryDeficiencySeverity
08/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
08/03/2012Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
08/03/2012Ensure services provided by the nursing facility meet professional standards of quality. E
Date Complaint Substantiated: 06/21/2012
CorrectedCategoryDeficiencySeverity
08/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: BEDFORD COURT HEALTHCARE CENT.
Quality Measures National Average Maryland Average BEDFORD COURT HEALTHCARE CENT.
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% 6.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 4.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 4.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 10.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 59.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 2.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 10.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 2.7%
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% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 78.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 78.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 6.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 20.9%
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% 87.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 80.6%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 1.4%

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