Althea Woodland Nursing Home

Inspection Results

Nursing Homes Maryland Silver Spring Althea Woodland Nursing Home

Althea Woodland Nursing Home has been cited for a total of 60 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Althea Woodland Nursing Home.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 238 nursing homes in Maryland with a total of 18,830 deficiencies resulting in an average of 79.12 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-09

Corrected:

2021-06-07

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-10-06

Corrected:

2020-12-06

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-10-06

Corrected:

2020-12-06

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-07-11

Corrected:

2019-09-10

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Notify the resident or the resident�s representative in writing how long the nursing home will hold the resident�s bed in cases of transfer to a hospital or therapeutic leave.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

PASARR screening for Mental disorders or Intellectual Disabilities

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Have a plan that describes the process for conducting QAPI and QAA activities.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Notify the resident or the resident�s representative in writing how long the nursing home will hold the resident�s bed in cases of transfer to a hospital or therapeutic leave.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

PASARR screening for Mental disorders or Intellectual Disabilities

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Have a plan that describes the process for conducting QAPI and QAA activities.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-06-22

Corrected:

2018-08-21

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Althea Woodland Nursing Home

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