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Bel Pre Health & Rehabilitation Center
2601 BEL PRE ROAD
Silver Spring, MD 20906
(301) 598-6000
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 100 |
| Number of Residents: | 83 |
| Percent of Occupied Beds: | 83% |
| Sprinkler Status: | Partially 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? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071017 | Health | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm | 20071031 |
| 20080123 | 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 | 20080208 |
| 20080123 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20080208 |
| 20080721 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20081216 |
| 20080721 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20081216 |
| 20080721 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | 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 | 20081216 |
| 20080721 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Actual harm | 20081126 |
| 20080721 | 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 | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | 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 | 20081126 |
| 20080721 | 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 | 20080904 |
| 20080721 | 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 | Potential for minimal harm | 20081126 |
| 20080721 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | 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. | Pattern | Minimal harm or potential for actual harm | 20081216 |
| 20080721 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | 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 | 20081126 |
| 20080721 | Health | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Pattern | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Environmental Deficiencies | Keep all essential equipment working safely. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Administration Deficiencies | Follow all laws and professional standards. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | Isolated | Minimal harm or potential for actual harm | 20081126 |
| 20080721 | Health | Administration Deficiencies | Choose a doctor to be the medical director. | Pattern | Minimal harm or potential for actual harm | 20080904 |
| 20080721 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20080904 |
| 20081014 | Health | Resident Assessment Deficiencies | Make sure that doctors visit residents regularly, as required. | Isolated | Minimal harm or potential for actual harm | 20081216 |
| 20081014 | 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. | Pattern | Minimal harm or potential for actual harm | 20081216 |
| 20081124 | Health | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | Pattern | Potential for minimal harm | 20081216 |
| 20090610 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090824 |
| 20090610 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm | 20090824 |
| 20090610 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20090824 |
| 20100427 | 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 | |
| 20101012 | 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 | 20101029 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 81 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 69 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 7 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 17 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 2 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 45 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| 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: | 7 | |
| Percent of long-stay residents who had a urinary tract infection: | 4 | |
| Percent of long-stay residents who lose too much weight: | 3 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 48 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 57 | |
| Percent of short-stay residents who have delirium: | 2 | |
| Percent of short-stay residents who had moderate to severe pain: | 23 | |
| Percent of short-stay residents who have pressure sores: | 13 | |
| # of Residents: | 83 |
| # RN Hours per Resident: | 0.37 |
| # LPN Hours per Resident: | 1.13 |
| # CNA Hours per Resident: | 1.62 |
| Total Staff Hours per Resident: | 1.5 |
