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Hartley Hall Nursing And Rehabilitation

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About Hartley Hall Nursing And Rehabilitation

General Information

Legal Business NameHartley Hall Nursing & Rehabilitation Center, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1981 (35 years)
Capacity73
Residents68
Percent Occupied93%
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 Hartley Hall Nursing And Rehabilitation

Hartley Hall Nursing And Rehabilitation
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

October 15, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
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.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.

October 9, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionEnsure 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 HarmComplaint+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 HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmComplaint+InspectionAllow residents to easily view the results of the nursing home's most recent inspection.

October 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

October 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$230,895 fine
KSomeImmediate JeopardyHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
KSomeImmediate JeopardyHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
ESomePotential for HarmHealth InspectionEnsure 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 HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

September 5, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

August 13, 2014 - 2 years ago

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

August 5, 2014 - 2 years ago

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

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hartley Hall Nursing And Rehabilitation 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.

1hr 60min
2hr 25min
ReportedExpected
CNA
1hr 5min
35min
ReportedExpected
LPN
35min
50min
ReportedExpected
RN
3hr 40min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.6%
84.6%
84.6%
95.6%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
75.4%
66.1%
69.1%
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
12.7%
11.1%
15.1%
14.5%
Q1 2015Q2 2015Q3 2015MD
Received an Antipsychotic Medication
22.2%
5.0%
16.7%
18.6%
Q1 2015Q2 2015Q3 2015MD
Need for Help with ADLs has Increased
9.3%
12.3%
14.9%
6.0%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
1.9%
5.7%
12.7%
6.7%
Q1 2015Q2 2015Q3 2015MD
Lose Too Much Weight
13.2%
2.8%
3.0%
6.6%
Q1 2015Q2 2015Q3 2015MD
High Risk Residents With Pressure Ulcers
20.4%
22.2%
20.0%
4.8%
Q1 2015Q2 2015Q3 2015MD
Have Depressive Symptoms
1.9%
3.8%
9.1%
4.7%
Q1 2015Q2 2015Q3 2015MD
With a Urinary Tract Infection
1.8%
1.8%
3.6%
2.8%
Q1 2015Q2 2015Q3 2015MD
Experiencing One or More Falls with Major Injury
1.5%
1.6%
2.2%
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

34.0%
48.6%
68.7%
82.1%
Q1 2015Q2 2015Q3 2015MD
Assessed and Appropriately Given the Pneumococcal Vaccine
30.8%
22.6%
22.6%
83.5%
Q1 2015Q2 2015Q3 2015MD
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
12.8%
10.9%
7.8%
13.6%
Q1 2015Q2 2015Q3 2015MD
Self Report Moderate to Severe Pain
0.0%
0.0%
1.8%
2.1%
Q1 2015Q2 2015Q3 2015MD
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