Spa Creek Center

35 MILKSHAKE LANE
Annapolis, MD 21403
(410) 269-5100
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 134
Number of Residents: 118
Percent of Occupied Beds: 88%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 4 Star Overall Rating
Health Inspection: 3 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080818 Health 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. Isolated Minimal harm or potential for actual harm 20081003
20080818 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20081003
20080818 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20081003
20081119 Health 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. Isolated Minimal harm or potential for actual harm 20081128
20081119 Health Resident Assessment Deficiencies 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Isolated Minimal harm or potential for actual harm 20081128
20081119 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20081128
20090121 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090323
20090121 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20090323
20090609 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20090723
20100923 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20101107
20100923 Health Resident Assessment Deficiencies Develop a plan with the resident and family for the resident's care after leaving the nursing home. Isolated Minimal harm or potential for actual harm 20101107
20101108 Health 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. Isolated Minimal harm or potential for actual harm 20101213
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 85
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 78
Percent of long-stay residents whose need for help with daily activities has increased: 13
Percent of long-stay residents who have moderate to severe pain: 0
Percent of high-risk long-stay residents who have pressure sores: 7
Percent of low-risk long-stay residents who have pressure sores: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 5
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 65
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 2
Percent of long-stay residents who spend most of their time in bed or in a chair: 7
Percent of long-stay residents whose ability to move about in and around their room got worse: 10
Percent of long-stay residents who had a urinary tract infection: 12
Percent of long-stay residents who lose too much weight: 12
Percent of short-stay residents given influenza vaccination during the flu season: 71
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 68
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 27
Percent of short-stay residents who have pressure sores: 18
# of Residents: 118
# RN Hours per Resident: 1.04
# LPN Hours per Resident: 0.93
# CNA Hours per Resident: 2.24
Total Staff Hours per Resident: 1.97