Northampton Manor

200 EAST 16TH STREET
Frederick, MD 21701
(301) 662-8700
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 190
Number of Residents: 170
Percent of Occupied Beds: 89%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 3 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071130 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20071206
20080725 Health Environmental Deficiencies 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 20080925
20080725 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 20080925
20080725 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20080925
20080826 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
20080826 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Pattern Minimal harm or potential for actual harm 20081003
20080826 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20081003
20081117 Health Environmental Deficiencies Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. Pattern Potential for minimal harm
20081218 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20090116
20081218 Health Mistreatment Deficiencies 1) Hire only people who have 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. Pattern Minimal harm or potential for actual harm 20090116
20090106 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Resident Rights Deficiencies Bill properly: Charged resident for items that Medicare or Medicaid pays for. Pattern Potential for minimal harm 20090319
20090106 Health Resident Rights Deficiencies Let the resident refuse treatment or refuse to take part in an experiment. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Pattern Minimal harm or potential for actual harm 20090319
20090106 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Widespread Minimal harm or potential for actual harm 20090319
20090106 Health Resident Assessment Deficiencies Make sure that doctors visit residents regularly, as required. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Environmental Deficiencies Keep all essential equipment working safely. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20090319
20090106 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Pattern Minimal harm or potential for actual harm 20090319
20090416 Health Quality Care Deficiencies Develop/implement required procedures for the administration of immunizations. Isolated Minimal harm or potential for actual harm
20090416 Health Resident Rights Deficiencies Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. Isolated Minimal harm or potential for actual harm
20090416 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm
20090805 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 20090917
20091014 Health Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Isolated Minimal harm or potential for actual harm 20091120
20091014 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20091120
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 93
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 87
Percent of long-stay residents whose need for help with daily activities has increased: 12
Percent of long-stay residents who have moderate to severe pain: 0
Percent of high-risk long-stay residents who have pressure sores: 6
Percent of low-risk long-stay residents who have pressure sores: 1
Percent of long-stay residents who were physically restrained: 4
Percent of long-stay residents who are more depressed or anxious: 9
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 62
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 1
Percent of long-stay residents who spend most of their time in bed or in a chair: 4
Percent of long-stay residents whose ability to move about in and around their room got worse: 9
Percent of long-stay residents who had a urinary tract infection: 6
Percent of long-stay residents who lose too much weight: 7
Percent of short-stay residents given influenza vaccination during the flu season: 72
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 74
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 2
Percent of short-stay residents who have pressure sores: 13
# of Residents: 170
# RN Hours per Resident: 0.62
# LPN Hours per Resident: 0.83
# CNA Hours per Resident: 2.28
Total Staff Hours per Resident: 1.45