Kensington Nursing & Rehabilitation Center

3000 MCCOMAS AVENUE
Kensington, MD 20895
(301) 933-0060
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 140
Number of Residents: 135
Percent of Occupied Beds: 96%
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? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080307 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 20080420
20080307 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Actual harm 20080420
20080307 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 20080420
20080307 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20080420
20080307 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 20080420
20080307 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20080420
20080523 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20080707
20080806 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20080912
20080806 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 20080912
20080806 Health Resident Rights Deficiencies Let the resident or the resident's representative look at all records. Pattern Potential for minimal harm 20080912
20081001 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 20090101
20081001 Health Resident Rights Deficiencies Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. Pattern Minimal harm or potential for actual harm 20090101
20081001 Health Resident Rights Deficiencies 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 20090101
20081001 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 20090101
20081001 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20090101
20081001 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 20090101
20081001 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 20090101
20081001 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Pattern Minimal harm or potential for actual harm 20090101
20081001 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20090101
20081001 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 20090101
20081001 Health Administration Deficiencies Get services outside the nursing home that meet professional standards. Pattern Minimal harm or potential for actual harm 20090101
20081001 Health Administration Deficiencies Quickly tell the resident's doctor the results of lab tests. Isolated Minimal harm or potential for actual harm 20090101
20081001 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Pattern Minimal harm or potential for actual harm 20090101
20081001 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. Isolated Minimal harm or potential for actual harm 20090101
20081001 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. Pattern Minimal harm or potential for actual harm 20090101
20081001 Health Quality Care Deficiencies Develop/implement required procedures for the administration of immunizations. Isolated Minimal harm or potential for actual harm 20090101
20081001 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 20090101
20081001 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Isolated Minimal harm or potential for actual harm 20090101
20081001 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 20090101
20081001 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Pattern Minimal harm or potential for actual harm 20090101
20090102 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090302
20090102 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 20090302
20090102 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 20090302
20090526 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 20090620
20090526 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Pattern Minimal harm or potential for actual harm 20090620
20090609 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 20090708
20090609 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Potential for minimal harm 20090708
20090609 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 20090708
20090609 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 20090708
20090609 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090708
20091230 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
20100121 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 20100308
20100304 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20100315
20100513 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20100611
20100513 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Isolated Minimal harm or potential for actual harm 20100611
20100513 Health Nutrition and Dietary Deficiencies Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern Minimal harm or potential for actual harm 20100611
20100513 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 20100611
20100513 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. Pattern Minimal harm or potential for actual harm 20100611
20100513 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Minimal harm or potential for actual harm 20100611
20100513 Health Resident Rights Deficiencies Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. Isolated Minimal harm or potential for actual harm 20100611
20100713 Health Resident Rights Deficiencies Provide enough notice before discharging or transferring a resident. Isolated Minimal harm or potential for actual harm 20100729
20101013 Health Environmental Deficiencies Keep safe, clean and homelike surroundings. Pattern Minimal harm or potential for actual harm 20101105
20101013 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Pattern Potential for minimal harm 20101105
20101013 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 20101105
20101013 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20101105
20101013 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 20101105
20101013 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Pattern Minimal harm or potential for actual harm 20101105
20101013 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Pattern Potential for minimal harm 20101105
20101013 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 20101105
20101013 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20101213
20101013 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 20101105
20101013 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 20101105
20101013 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20101213
20101013 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. Pattern Minimal harm or potential for actual harm 20101213
20101013 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 20101105
20101013 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 20101105
20101013 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Pattern Minimal harm or potential for actual harm 20101105
20101013 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 20101105
20101013 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm 20101105
20101013 Health Quality Care Deficiencies Develop/implement required procedures for the administration of immunizations. Pattern Minimal harm or potential for actual harm 20101105
20101013 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20101105
20101013 Health Administration Deficiencies Give or get x-rays and other tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20101105
20101013 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20101213
20101013 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Pattern Potential for minimal harm 20101105
20101013 Health Environmental Deficiencies Have enough outside airflow. Widespread Potential for minimal harm 20101105
20101013 Health Environmental Deficiencies Make sure there is a program to prevent/deal with mice, insects, or other pests. Widespread Potential for minimal harm 20101105
20101013 Health Administration Deficiencies Follow all laws and professional standards. Isolated Minimal harm or potential for actual harm 20101213
20101013 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 20101105
20101013 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 20101105
20101013 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 20101105
20101013 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Isolated Minimal harm or potential for actual harm 20101105
20101013 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 20101105
20101013 Health Resident Rights Deficiencies Tell the resident completely about his or her health status. Isolated Minimal harm or potential for actual harm 20101105
20101013 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
20101013 Health Resident Rights Deficiencies Quickly give a resident's personal money to the heads of his or her estate after the resident's death. Pattern Potential for minimal harm 20101105
20101013 Health Resident Rights Deficiencies Allow residents to easily see the results of the nursing home's most recent survey. Pattern Potential for minimal harm 20101105
20101013 Health Resident Rights Deficiencies Have a private telephone available for use. Pattern Potential for minimal harm 20101105
20101013 Health Resident Rights Deficiencies Let residents give themselves their drugs if they are able. Isolated Minimal harm or potential for actual harm 20101105
20101130 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Potential for minimal harm
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 75
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 64
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: 3
Percent of high-risk long-stay residents who have pressure sores: 18
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 8
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 51
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: 2
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: 11
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 51
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 38
Percent of short-stay residents who have delirium: 3
Percent of short-stay residents who had moderate to severe pain: 21
Percent of short-stay residents who have pressure sores: 19
# of Residents: 135
# RN Hours per Resident: 0.36
# LPN Hours per Resident: 1.14
# CNA Hours per Resident: 2.14
Total Staff Hours per Resident: 1.5