General Information: NMS HEALTHCARE OF HAGERSTOWN, LLC
Nursing home name NMS HEALTHCARE OF HAGERSTOWN, LLC
Address14014 MARSH PIKE
HAGERSTOWN, MD 21742
Phone number (301) 733-8700
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 186
Total number of residents 179
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents10
Number of Substantiated Complaints15
Number of Fines1
Total Amount of Fines$8000
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: NMS HEALTHCARE OF HAGERSTOWN, LLC
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: NMS HEALTHCARE OF HAGERSTOWN, LLC
National AverageMaryland AverageNMS HEALTHCARE OF HAGERSTOWN, LLC
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 179
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 4.27 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.97 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.65 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 1.32 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.31 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.26 hours
Health Survey: NMS HEALTHCARE OF HAGERSTOWN, LLC
Heath Survey Summary on 2013-07-12
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Widespread /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2012-05-24
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-31
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: NMS HEALTHCARE OF HAGERSTOWN, LLC
Inspection Results: 07/12/2013
Corrected Deficiency Scope and Severity
10/18/2013 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
10/18/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
08/02/2013 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
08/02/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
08/02/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/02/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread /Immediate jeopardy to resident health or safety
10/18/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
08/02/2013 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
08/02/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
08/02/2013 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
08/02/2013 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern/Minimal harm or potential for actual harm
08/02/2013 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread /Minimal harm or potential for actual harm
08/02/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/24/2012
Corrected Deficiency Scope and Severity
06/18/2012 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
06/18/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
06/18/2012 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
06/18/2012 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
06/18/2012 Put firmly secured handrails on each side of hallways. Isolated/Minimal harm or potential for actual harm
06/18/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/31/2011
Corrected Deficiency Scope and Severity
04/18/2011 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
04/18/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
04/18/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
04/18/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/18/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Isolated/Minimal harm or potential for actual harm
04/18/2011 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: NMS HEALTHCARE OF HAGERSTOWN, LLC
Fire Safety Survey Summary on 2013-07-11
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2012-04-19
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 2011-02-04
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: NMS HEALTHCARE OF HAGERSTOWN, LLC
Fire Safety Survey Results: 07/11/2013
Corrected Deficiency Severity
08/15/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread/Potential for minimal harm
08/15/2013 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
Fire Safety Survey Results: 04/19/2012
Corrected Deficiency Severity
05/08/2012 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm
05/08/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
05/08/2012 Fire resistant room wall surfaces. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/04/2011
Corrected Deficiency Severity
02/20/2011 Fire resistant room wall surfaces. Pattern/Potential for minimal harm
02/20/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
02/20/2011 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
02/20/2011 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm

Resident Complaints: NMS HEALTHCARE OF HAGERSTOWN, LLC
Date Complaint Substantiated: 11/14/2013
CorrectedCategoryDeficiencySeverity
Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 03/13/2013
CorrectedCategoryDeficiencySeverity
05/01/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E
05/01/2013Provide necessary care and services to maintain or improve the highest well being of each resident . E
05/01/2013Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. E
Date Complaint Substantiated: 09/13/2012
CorrectedCategoryDeficiencySeverity
11/30/2012Provide necessary care and services to maintain or improve the highest well being of each resident . G
Date Complaint Substantiated: 07/12/2012
CorrectedCategoryDeficiencySeverity
07/27/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 05/24/2012
CorrectedCategoryDeficiencySeverity
06/18/2012Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. D
06/18/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 11/21/2011
CorrectedCategoryDeficiencySeverity
01/26/2012Give residents a notice of rights, rules, services and charges. D
01/26/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
01/26/2012Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. D

Quality Measures: NMS HEALTHCARE OF HAGERSTOWN, LLC
Quality Measures National Average Maryland Average NMS HEALTHCARE OF HAGERSTOWN, LLC
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% 12.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 12.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 7.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 6.5%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 43.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 1.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 3.1%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 4.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 2.7%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 1.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 91.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 75.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 27.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 35.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 61.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 37.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.4%

User reviews on NMS HEALTHCARE OF HAGERSTOWN, LLC

NMS HEALTHCARE OF HAGERSTOWN, LLC has 1 user reviews:
On Wednesday Aug 14 2013 02:08 PM Anonymous wrote:

An absolutely terrible facility. It's very dirty and in serious need of maintenace. Basic saftey
requirements are ignored. Also, most of the staff is unresponsive and unprofessional. We've
witnessed so many violations that I'll be reporting this facility to the state for investigation. Do
not admit your family members, friends or yourself into this facility!



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