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Bethesda Health And Rehabilitation

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About Bethesda Health And Rehabilitation

General Information

Legal Business NameSsc Bethesda Operating Company LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 10, 1989 (28 years)
Capacity200
Residents158
Percent Occupied79%
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 Bethesda Health And Rehabilitation

Bethesda Health And Rehabilitation
was reviewed by Medicare to have a rating of 1 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 17, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

May 26, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal 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.

March 8, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionKeep all essential equipment working safely.
ESomePotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
CManyPotential for Minimal HarmComplaint+InspectionHire sufficient dietary support personnel.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential 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 Inspection1) 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.
DFewPotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
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+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.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
BSomePotential for Minimal HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
BSomePotential for Minimal HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
BSomePotential for Minimal HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
BSomePotential for Minimal HarmComplaintLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
BSomePotential for Minimal HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
BSomePotential for Minimal HarmComplaint+InspectionGive the resident's representative the ability to exercise the resident's rights.

November 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
BSomePotential for Minimal HarmComplaintPost nurse staffing information/data on a daily basis.

July 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
BSomePotential for Minimal HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

May 14, 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 .
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
BSomePotential for Minimal HarmComplaintGive residents a notice of rights, rules, services and charges.

May 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

January 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionKeep all essential equipment working safely.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
CManyPotential for Minimal HarmComplaint+InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
CManyPotential for Minimal HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
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+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
BSomePotential for Minimal HarmComplaint+InspectionQuickly tell the resident's doctor the results of laboratory tests.
BSomePotential for Minimal HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
BSomePotential for Minimal HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
BSomePotential for Minimal HarmComplaint+Inspection1) 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.
BSomePotential for Minimal HarmComplaint+InspectionGive the resident's representative the ability to exercise the resident's rights.
BSomePotential for Minimal HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
BSomePotential for Minimal HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

October 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

July 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bethesda Health 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 30min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 40min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.2%
98.1%
98.1%
98.1%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
86.7%
90.3%
84.2%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
55.6%
53.1%
47.5%
58.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.0%
18.0%
17.8%
17.5%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.1%
17.6%
23.3%
21.3%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose ability to move independently worsened
21.8%
21.2%
21.8%
20.9%
13.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antipsychotic medication
12.1%
20.1%
20.1%
22.4%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose need for help with daily activities has increased
4.7%
3.6%
5.3%
2.9%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who self-report moderate to severe pain
6.7%
12.2%
6.5%
3.6%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who lose too much weight
12.0%
13.1%
17.5%
13.2%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
6.4%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who have depressive symptoms
6.0%
4.7%
6.5%
4.2%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a urinary tract infection
2.0%
1.3%
1.9%
1.8%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents experiencing one or more falls with major injury
2.1%
2.9%
2.1%
1.9%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

69.4%
68.5%
69.6%
64.9%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
72.6%
72.6%
72.6%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
75.7%
63.2%
64.4%
64.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
13.8%
8.3%
5.9%
3.4%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who self-report moderate to severe pain
7.9%
0.0%
0.0%
0.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.9%
1.8%
4.8%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents with pressure ulcers that are new or worsened