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Shady Grove Center

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About Shady Grove Center

General Information

Legal Business Name9701 Medical Center Drive Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 5, 1987 (30 years)
Capacity134
Residents132
Percent Occupied99%
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 Shady Grove Center

Shady Grove Center
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

May 13, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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.
DFewPotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

October 20, 2015 - 17 months ago

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

September 28, 2015 - 1 year ago

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

April 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential 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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
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 HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
BSomePotential for Minimal HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

December 3, 2014 - 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.

August 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
BSomePotential for Minimal HarmComplaintProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

May 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 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 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 residents are safe from serious medication errors.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Shady Grove 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.

1hr 50min
2hr 30min
ReportedExpected
CNA
1hr
45min
ReportedExpected
LPN
55min
1hr 15min
ReportedExpected
RN
3hr 50min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
92.4%
92.4%
92.4%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
96.6%
95.6%
95.7%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
28.0%
51.4%
73.8%
58.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of low risk long-stay residents who lose control of their bowels or bladder
11.2%
13.8%
14.3%
15.0%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.2%
31.9%
41.4%
16.3%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose ability to move independently worsened
9.2%
9.9%
10.0%
11.6%
13.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who received an antipsychotic medication
30.4%
24.2%
36.2%
25.7%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents whose need for help with daily activities has increased
1.4%
2.3%
3.7%
6.3%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who self-report moderate to severe pain
8.8%
4.7%
4.5%
6.7%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who lose too much weight
6.1%
4.3%
4.1%
10.4%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of high risk long-stay residents with pressure ulcers
21.5%
17.9%
12.8%
9.2%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents who have depressive symptoms
4.9%
5.7%
7.8%
9.6%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
0.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of long-stay residents experiencing one or more falls with major injury
2.0%
1.1%
0.0%
1.5%
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

82.7%
82.9%
75.4%
71.8%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.3%
83.2%
83.2%
83.2%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
59.0%
56.7%
61.8%
63.1%
64.8%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who made improvements in function
3.7%
7.6%
11.6%
9.0%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who self-report moderate to severe pain
2.4%
1.2%
0.4%
0.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents who newly received an antipsychotic medication
1.0%
1.5%
1.9%
1.1%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MD
Percentage of short-stay residents with pressure ulcers that are new or worsened