General Information: COFFMAN NURSING HOME
Nursing home name COFFMAN NURSING HOME
Address1304 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Phone number (301) 733-2914
Located within a hospital No
Type of ownership Non 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 59
Total number of residents 52
Perc of occupied beds 88
Sprinkler status Yes
Number of Facility Reported Incidents7
Number of Substantiated Complaints3
Number of Fines1
Total Amount of Fines$128000
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: COFFMAN NURSING HOME
Overall rating 2
2
Nursing Home Staffing 2
2
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: COFFMAN NURSING HOME
National AverageMaryland AverageCOFFMAN NURSING HOME
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 52
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.24 hours 4.51 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.82 hours 1.2 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.9 hours 0.29 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.92 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.42 hours 3.31 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.12 hours
Health Survey: COFFMAN NURSING HOME
Heath Survey Summary on 2013-01-08
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-10
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-09-16
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: COFFMAN NURSING HOME
Inspection Results: 01/08/2013
Corrected Deficiency Scope and Severity
03/01/2013 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
03/01/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
03/01/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
03/01/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/01/2013 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
03/01/2013 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
03/01/2013 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
03/01/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
03/01/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/10/2011
Corrected Deficiency Scope and Severity
12/20/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
12/20/2011 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
Inspection Results: 09/16/2010
Corrected Deficiency Scope and Severity
12/01/2010 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
12/01/2010 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
12/01/2010 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
12/01/2010 Provide written records when a resident is transferred or discharged. Isolated/Minimal harm or potential for actual harm
12/01/2010 Provide timely notification to the resident before transfer or discharge. Isolated/Minimal harm or potential for actual harm
12/01/2010 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
12/01/2010 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
12/01/2010 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
12/01/2010 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
12/01/2010 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/01/2010 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
12/01/2010 Store, cook, and serve food in a safe and clean way. Pattern/Potential for minimal harm
12/01/2010 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

Fire Safety Survey: COFFMAN NURSING HOME
Fire Safety Survey Summary on 2013-01-09
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-07-18
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-08-30
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: COFFMAN NURSING HOME
Fire Safety Survey Results: 01/09/2013
Corrected Deficiency Severity
02/28/2013 Corridor and hallway doors that block smoke. Pattern/Potential for minimal harm
02/28/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread/Potential for minimal harm
02/28/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
02/28/2013 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
02/28/2013 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm
Fire Safety Survey Results: 07/18/2011
Corrected Deficiency Severity
09/01/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
09/01/2011 No-smoking signs where oxygen is used. Widespread/Potential for minimal harm
09/01/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
09/01/2011 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm
Fire Safety Survey Results: 08/30/2010
Corrected Deficiency Severity
10/15/2010 Corridor and hallway doors that block smoke. Pattern/Potential for minimal harm
10/15/2010 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
10/15/2010 No-smoking signs where oxygen is used. Widespread/Potential for minimal harm
10/30/2010 Properly installed electrical wiring and equipment. Widespread/Potential for minimal harm

Resident Complaints: COFFMAN NURSING HOME
Date Complaint Substantiated: 10/16/2013
CorrectedCategoryDeficiencySeverity
11/20/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E
11/20/2013Ensure that residents are safe from serious medication errors. E
11/20/2013Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. E
11/20/2013Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. E
11/20/2013Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. E
Date Complaint Substantiated: 07/24/2013
CorrectedCategoryDeficiencySeverity
08/01/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
08/01/2013Provide necessary care and services to maintain or improve the highest well being of each resident . J
08/01/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
08/01/2013Use a registered nurse at least 8 hours a day, 7 days a week. F
Date Complaint Substantiated: 09/05/2012
CorrectedCategoryDeficiencySeverity
10/19/2012Have a program that investigates, controls and keeps infection from spreading. C
10/19/2012Store, cook, and serve food in a safe and clean way. C
10/19/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
10/19/2012Provide housekeeping and maintenance services. C
10/19/2012Train all employees on what to do in an emergency, and carry out unannounced staff drills. C

Quality Measures: COFFMAN NURSING HOME
Quality Measures National Average Maryland Average COFFMAN NURSING HOME
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% 10.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.2% 4.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.1% 0.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.2% 4.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 53.2% 61.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.6% 2.1%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.2% 14.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 1.4%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.9% 4.8%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 2.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.8% 95.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.8% 97.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.4% 10.2%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.5% 7.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 1.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.9% 83.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.1% 78.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 2.8%

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