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Autumn Lake Healthcare At Alice Manor

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About Autumn Lake Healthcare At Alice Manor

General Information

Legal Business NameAlice Operator LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1990 (27 years)
Capacity105
Residents93
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Autumn Lake Healthcare At Alice Manor

Autumn Lake Healthcare At Alice Manor
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Maryland Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 22, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaintProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaintAllow residents to have visitors.
DFewPotential for HarmComplaintKeep residents' personal and medical records private and confidential.

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintOther fire safety features required by fire safety codes.

February 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

January 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

June 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Autumn Lake Healthcare At Alice Manor require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 30min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
4hr 10min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.8%
97.8%
95.6%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.7%
98.8%
93.3%
92.9%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
48.4%
-
-
57.3%
Q1 2015Q2 2015Q3 2015MD
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
30.9%
31.3%
32.9%
14.5%
Q1 2015Q2 2015Q3 2015MD
Received an Antipsychotic Medication
20.0%
10.7%
18.1%
18.6%
Q1 2015Q2 2015Q3 2015MD
Need for Help with ADLs has Increased
1.3%
0.0%
0.0%
6.0%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
4.7%
5.9%
6.8%
6.7%
Q1 2015Q2 2015Q3 2015MD
Lose Too Much Weight
7.6%
8.1%
11.6%
6.6%
Q1 2015Q2 2015Q3 2015MD
High Risk Residents With Pressure Ulcers
1.2%
1.2%
1.2%
4.8%
Q1 2015Q2 2015Q3 2015MD
Have Depressive Symptoms
0.0%
0.0%
7.9%
4.7%
Q1 2015Q2 2015Q3 2015MD
With a Urinary Tract Infection
2.3%
2.3%
2.2%
2.8%
Q1 2015Q2 2015Q3 2015MD
Experiencing One or More Falls with Major Injury
1.8%
1.0%
2.7%
2.5%
Q1 2015Q2 2015Q3 2015MD
With a Catheter Inserted and Left in Their Bladder
1.1%
1.2%
2.2%
0.7%
Q1 2015Q2 2015Q3 2015MD
Were Physically Restrained

Quality Measures for Short Stay Residents

82.9%
91.7%
79.2%
82.1%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
93.9%
88.6%
88.6%
83.5%
Q1 2015Q2 2015Q3 2015MD
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.5%
8.3%
-
13.6%
Q1 2015Q2 2015Q3 2015MD
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
14.3%
-
2.1%
Q1 2015Q2 2015Q3 2015MD
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015MD
With Pressure Ulcers That Are New or Worsened