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Villa Rosa Nursing And Rehabilitation, LLC

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About Villa Rosa Nursing And Rehabilitation, LLC

General Information

Legal Business NameVilla Rosa Nursing And Rehabilitation Center LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 20, 2006 (10 years)
Capacity107
Residents85
Percent Occupied79%
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 Villa Rosa Nursing And Rehabilitation, LLC

Villa Rosa Nursing And Rehabilitation, LLC
was reviewed by Medicare to have a rating of 2 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

November 10, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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 HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

July 13, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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.
DFewPotential for HarmHealth InspectionKeep clinical record information safe.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet 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 InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
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 InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
BSomePotential for Minimal HarmHealth InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.

June 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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 HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

May 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
FManyPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
BSomePotential for Minimal HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
BSomePotential for Minimal HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

February 4, 2015 - 2 years ago

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

September 5, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

August 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 15 days

June 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.

June 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
BSomePotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Villa Rosa Nursing And Rehabilitation, LLC 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 10min
2hr 45min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
60min
1hr 10min
ReportedExpected
RN
4hr 25min
4hr 40min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

96.7%
97.1%
97.1%
95.6%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.7%
92.5%
90.8%
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
8.5%
6.0%
6.6%
14.5%
Q1 2015Q2 2015Q3 2015MD
Received an Antipsychotic Medication
38.2%
14.3%
22.9%
18.6%
Q1 2015Q2 2015Q3 2015MD
Need for Help with ADLs has Increased
0.0%
0.0%
0.0%
6.0%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
0.0%
3.0%
4.7%
6.7%
Q1 2015Q2 2015Q3 2015MD
Lose Too Much Weight
5.4%
6.2%
4.8%
6.6%
Q1 2015Q2 2015Q3 2015MD
High Risk Residents With Pressure Ulcers
1.9%
0.0%
0.0%
4.8%
Q1 2015Q2 2015Q3 2015MD
Have Depressive Symptoms
0.0%
6.1%
1.6%
4.7%
Q1 2015Q2 2015Q3 2015MD
With a Urinary Tract Infection
1.7%
0.0%
0.0%
2.8%
Q1 2015Q2 2015Q3 2015MD
Experiencing One or More Falls with Major Injury
3.4%
3.7%
1.3%
2.5%
Q1 2015Q2 2015Q3 2015MD
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015MD
Were Physically Restrained

Quality Measures for Short Stay Residents

91.8%
92.1%
86.9%
82.1%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
90.6%
90.0%
90.0%
83.5%
Q1 2015Q2 2015Q3 2015MD
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
3.4%
4.1%
4.0%
13.6%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
2.1%
3.1%
2.8%
2.1%
Q1 2015Q2 2015Q3 2015MD
Newly Received an Antipsychotic Medication
0.8%
0.8%
1.2%
1.0%
Q1 2015Q2 2015Q3 2015MD
With Pressure Ulcers That Are New or Worsened