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Waugh Chapel Center

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About Waugh Chapel Center

General Information

Legal Business Name899 Cecil Avenue Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1983 (33 years)
Capacity110
Residents81
Percent Occupied74%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Waugh Chapel Center

Waugh Chapel Center
was reviewed by Medicare to have a rating of 4 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

May 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

February 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

February 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
BSomePotential for Minimal HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

May 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.

February 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
BSomePotential for Minimal HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

January 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Waugh Chapel Center 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 5min
2hr 20min
ReportedExpected
CNA
1hr
45min
ReportedExpected
LPN
1hr 20min
1hr 25min
ReportedExpected
RN
4hr 25min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
95.6%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
92.5%
85.0%
92.9%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
12.1%
5.9%
8.6%
14.5%
Q1 2015Q2 2015Q3 2015MD
Received an Antipsychotic Medication
-
10.8%
12.1%
18.6%
Q1 2015Q2 2015Q3 2015MD
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
6.0%
Q1 2015Q2 2015Q3 2015MD
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
8.6%
16.7%
11.4%
6.7%
Q1 2015Q2 2015Q3 2015MD
Lose Too Much Weight
12.1%
15.6%
12.5%
6.6%
Q1 2015Q2 2015Q3 2015MD
High Risk Residents With Pressure Ulcers
10.3%
10.5%
5.3%
4.8%
Q1 2015Q2 2015Q3 2015MD
Have Depressive Symptoms
10.0%
5.1%
5.1%
4.7%
Q1 2015Q2 2015Q3 2015MD
With a Urinary Tract Infection
0.0%
0.0%
2.5%
2.8%
Q1 2015Q2 2015Q3 2015MD
Experiencing One or More Falls with Major Injury
3.3%
2.3%
1.7%
2.5%
Q1 2015Q2 2015Q3 2015MD
With a Catheter Inserted and Left in Their Bladder
2.5%
2.5%
2.5%
0.7%
Q1 2015Q2 2015Q3 2015MD
Were Physically Restrained

Quality Measures for Short Stay Residents

59.6%
62.0%
51.4%
82.1%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
61.3%
60.6%
60.6%
83.5%
Q1 2015Q2 2015Q3 2015MD
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
24.1%
11.9%
12.5%
13.6%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
1.4%
0.7%
2.0%
2.1%
Q1 2015Q2 2015Q3 2015MD
Newly Received an Antipsychotic Medication
0.7%
0.0%
0.5%
1.0%
Q1 2015Q2 2015Q3 2015MD
With Pressure Ulcers That Are New or Worsened