Brooke Grove Rehab. & Nsg Ctr

18131 SLADE SCHOOL ROAD
Sandy Spring, MD 20860
(301) 924-5176
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 168
Number of Residents: 159
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? Yes
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 3 Star Overall Rating
Health Inspection: 3 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
20080423 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080505
20080702 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Potential for minimal harm 20080718
20080702 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 20080718
20080702 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Potential for minimal harm 20080718
20080811 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 20080831
20080811 Health Environmental Deficiencies Keep all essential equipment working safely. Isolated Minimal harm or potential for actual harm 20080831
20090310 Health Administration Deficiencies Follow all laws and professional standards. Pattern Minimal harm or potential for actual harm 20090403
20090310 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090403
20090310 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 20090403
20090310 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 20090403
20090310 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 20090403
20090512 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 20090527
20090618 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 20090724
20090618 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20090724
20100223 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100326
20100223 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Potential for minimal harm 20100326
20100223 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 20100326
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 95
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 94
Percent of long-stay residents whose need for help with daily activities has increased: 18
Percent of long-stay residents who have moderate to severe pain: 2
Percent of high-risk long-stay residents who have pressure sores: 10
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 0
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: 58
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: 15
Percent of long-stay residents who had a urinary tract infection: 8
Percent of long-stay residents who lose too much weight: 6
Percent of short-stay residents given influenza vaccination during the flu season: 87
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 82
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 5
Percent of short-stay residents who have pressure sores: 20
# of Residents: 159
# RN Hours per Resident: 0.38
# LPN Hours per Resident: 0.78
# CNA Hours per Resident: 2.67
Total Staff Hours per Resident: 1.16