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Nms Healthcare Of Hagerstown, LLC

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About Nms Healthcare Of Hagerstown, LLC

General Information

Legal Business NameNms Healthcare Of Hagerstown LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 3, 1993 (24 years)
Capacity206
Residents198
Percent Occupied96%
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 Nms Healthcare Of Hagerstown, LLC

Nms Healthcare Of Hagerstown, LLC
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

September 9, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmComplaintProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmComplaintGive notice to the resident before a room or roommate change.
DFewPotential for HarmComplaintProvide written records when a resident is transferred or discharged.
DFewPotential for HarmComplaintPermit residents to remain in the facility and not be transferred or discharged without adequate reason.
DFewPotential for HarmComplaintAllow married couples living in the same facility to share a room.
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.
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.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 16, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 19, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

December 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaintMake 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.
DFewPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionKeep all essential equipment working safely.
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+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
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+InspectionAllow residents to have visitors.
DFewPotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
BSomePotential for Minimal HarmComplaint+InspectionPost nurse staffing information/data on a daily basis.

July 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

October 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmComplaint+InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
GFewActual HarmComplaint+InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
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+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Nms Healthcare Of Hagerstown, 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.

1hr 60min
2hr 35min
ReportedExpected
CNA
1hr 5min
45min
ReportedExpected
LPN
50min
1hr 25min
ReportedExpected
RN
3hr 50min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.7%
97.7%
97.7%
97.7%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
84.6%
86.3%
80.6%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
41.5%
44.2%
38.9%
33.3%
58.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of low risk long-stay residents who lose control of their bowels or bladder
39.7%
40.1%
39.3%
40.8%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
13.3%
13.5%
6.1%
7.5%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose ability to move independently worsened
11.5%
12.7%
17.9%
17.8%
13.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antipsychotic medication
3.8%
17.0%
3.8%
8.8%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose need for help with daily activities has increased
6.8%
8.0%
9.8%
16.9%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who self-report moderate to severe pain
4.8%
6.3%
6.7%
1.4%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who lose too much weight
8.7%
6.7%
5.3%
5.9%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of high risk long-stay residents with pressure ulcers
10.9%
9.9%
10.8%
13.4%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who have depressive symptoms
3.3%
3.9%
2.5%
0.6%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a urinary tract infection
1.3%
1.3%
0.6%
2.4%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents experiencing one or more falls with major injury
3.2%
4.3%
3.1%
0.5%
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

52.0%
70.2%
68.3%
53.1%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
66.2%
81.1%
80.7%
79.5%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
56.5%
55.7%
52.8%
66.8%
64.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who made improvements in function
6.9%
8.6%
17.6%
21.8%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who self-report moderate to severe pain
4.4%
3.7%
1.5%
2.3%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.3%
0.3%
1.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents with pressure ulcers that are new or worsened