General Information: BUCKINGHAM'S CHOICE
Nursing home name BUCKINGHAM'S CHOICE
Address3200 BAKER CIRCLE
ADAMSTOWN, MD 21710
Phone number (301) 644-1600
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Resident
Certified number of beds 41
Total number of residents 38
Perc of occupied beds 92
Sprinkler status Yes
Number of Facility Reported Incidents7
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BUCKINGHAM'S CHOICE
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: BUCKINGHAM'S CHOICE
National AverageMaryland AverageBUCKINGHAM'S CHOICE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 38
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 4.46 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.96 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 1.72 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.25 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 2.49 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.26 hours
Health Survey: BUCKINGHAM'S CHOICE
Heath Survey Summary on 2013-11-14
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-13
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-08-17
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: BUCKINGHAM'S CHOICE
Inspection Results: 11/14/2013
Corrected Deficiency Scope and Severity
12/29/2013 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern/Minimal harm or potential for actual harm
12/29/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
12/29/2013 1) Hire only people with 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. Isolated/Minimal harm or potential for actual harm
12/29/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
12/29/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
12/29/2013 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
12/29/2013 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
12/29/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm
12/29/2013 Put firmly secured handrails on each side of hallways. Pattern/Minimal harm or potential for actual harm
12/29/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
12/29/2013 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
12/29/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
12/29/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
12/29/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
12/29/2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
12/29/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
12/29/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
Inspection Results: 09/13/2012
Corrected Deficiency Scope and Severity
10/28/2012 1) Hire only people with 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. Isolated/Minimal harm or potential for actual harm
10/28/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
10/28/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
10/28/2012 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
10/28/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
10/28/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
10/28/2012 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BUCKINGHAM'S CHOICE
Fire Safety Survey Summary on 2013-11-13
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-12
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2011-08-17
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: BUCKINGHAM'S CHOICE
Fire Safety Survey Results: 11/13/2013
Corrected Deficiency Severity
11/17/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/12/2012
Corrected Deficiency Severity
11/12/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread/Potential for minimal harm

Resident Complaints: BUCKINGHAM'S CHOICE
Date Complaint Substantiated: 07/24/2013
CorrectedCategoryDeficiencySeverity
09/22/20131) Hire only people with 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
09/22/2013Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
Date Complaint Substantiated: 04/25/2012
CorrectedCategoryDeficiencySeverity
06/18/2012Provide housekeeping and maintenance services. B
06/18/2012Operate and provide services according to Federal, State, and local laws and professional standards. F

Quality Measures: BUCKINGHAM'S CHOICE
Quality Measures National Average Maryland Average BUCKINGHAM'S CHOICE
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% 3.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 4.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 3.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 2.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 71.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 1.1%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 7.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 0.0%
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% 12.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 96.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 15.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 15.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 2.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 96.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 95.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.4%

User reviews on BUCKINGHAM'S CHOICE

BUCKINGHAM'S CHOICE has 1 user reviews:
On Monday Dec 05 2011 08:24 PM Alatheia wrote:

The administration, via contact with the social worker was not straightforward with us, causing
major stress and inconvenience when we were told that our parent could go no further with therapy,
and would have to leave in four days time. Their "just released patient" who could go no
further in therapy, took a nasty spill the day after being released. We had been given no
instructions or guidelines upon release. Once they had maximized the payments they could extract
from Medicare, we were given the heave-ho. Funny how that timing was so precise, and dovetailed so
neatly -- they kept up the charade there as long as the money spigot was open. I gagged as I read
their "core principles" posted on the wall as we passed by.



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