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St Thomas More Medical Complex
4922 LASALLE ROAD
Hyattsville, MD 20782
(301) 864-2333
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 240 |
| Number of Residents: | 225 |
| Percent of Occupied Beds: | 94% |
| 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: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080514 | 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 | 20080801 |
| 20080514 | 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 | 20080801 |
| 20080514 | 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 | 20080801 |
| 20080514 | 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. | Isolated | Minimal harm or potential for actual harm | 20080801 |
| 20081028 | 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. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Administration Deficiencies | Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Resident Rights Deficiencies | Provide written records when a resident is transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20081028 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20081115 |
| 20090317 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | Health | Resident Rights Deficiencies | Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | Pattern | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | 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. | Pattern | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | 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 | 20090413 |
| 20090317 | 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 | 20090413 |
| 20090317 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | 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. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | 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. | Pattern | Potential for minimal harm | 20090413 |
| 20090317 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090413 |
| 20090317 | 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. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | Health | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | Pattern | Minimal harm or potential for actual harm | 20090413 |
| 20090317 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20090413 |
| 20090515 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20090612 |
| 20090527 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20090617 |
| 20090527 | 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 | 20090617 |
| 20090527 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20090617 |
| 20090608 | 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 | 20090617 |
| 20091222 | 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 | 20100128 |
| 20100402 | Health | Administration Deficiencies | Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm | 20100610 |
| 20100602 | 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 | 20100717 |
| 20100602 | 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 | 20100717 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 77 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 77 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 8 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 21 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 6 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 39 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 10 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 6 | |
| Percent of long-stay residents who had a urinary tract infection: | 7 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 63 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 78 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 2 | |
| Percent of short-stay residents who have pressure sores: | 17 | |
| # of Residents: | 225 |
| # RN Hours per Resident: | 1.14 |
| # LPN Hours per Resident: | 1.51 |
| # CNA Hours per Resident: | 3.29 |
| Total Staff Hours per Resident: | 2.65 |
