Lorien Nsg And Rehab Frankford (Baltimore, Maryland) Nursing Home Grades

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LORIEN NSG AND REHAB FRANKFORD
5009 FRANKFORD AVENUE
BALTIMORE, MD 21206
(410) 325-4000

Size (date of last inspection: 20060216)

238 total beds available
215 current residents
90% occupied

Staff Presence

4.11 nurse hours per resident per day
0.76 with Registered Nurses
0.82 with Licensed Practical Nurses
2.53 with Certified Nurse Assistants

Medicare and Medicaid

Yes participant in Medicare
Yes participant in Medicaid

Administration Details

This home is owned by a for-profit corporation

This home is not located within a hospital

The owner does not own other homes

This home has resident councils

Resident Details (survey date: 20060216)

0%	Percent of Short-Stay Residents With Delirium
7%	Percent of Short-Stay Residents Who Had Moderate to Severe Pain
12%	Percent of Residents Who Lose Too Much Weight
39%	Percent of Short-Stay Residents With Pressure Sores
13%	Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
6%	Percent of Residents Who Have Moderate to Severe Pain
45%	Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
6%	Percent of Residents With a Urinary Tract Infection
28%	Percent of High-Risk Residents Who Have Pressure Sores
4%	Percent of Low-Risk Residents Who Have Pressure Sores
7%	Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
9%	Percent of Residents Who are More Depressed or Anxious
1%	Percent of Residents Who Were Physically Restrained
8%	Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
6%	Percent of Residents Whose Need for Help With Daily Activities Has Increased

Deficiencies Found in Home Inspections

5
1...12

Resident Rights: Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20031031

Corrected By:

20031219

5
1...12

Administration: Give or get lab tests to meet the needs of residents.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20060216

Corrected By:

20060402

5
1...12

Environmental: Keep all essential equipment working safely.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20060216

Corrected By:

20060402

5
1...12

Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20060216

Corrected By:

20060402

5
1...12

Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20060216

Corrected By:

20060402

5
1...12

Environmental: Make sure that the nursing home area is free of dangers that cause accidents.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050208

Corrected By:

20050330

5
1...12

Environmental: Keep safe, clean and homelike surroundings.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050208

Corrected By:

20050330

5
1...12

Pharmacy Service: Make sure that residents are safe from serious medication errors.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20031031

Corrected By:

20031219

5
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20031031

Corrected By:

20031219

5
1...12

Environmental: Have a program to keep infection from spreading.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20031031

Corrected By:

20031219

4
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Quality Care: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Quality Care: Make sure that each resident's nutritional needs were met.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Environmental: Keep a resident apart from the others if the resident has an infection that can spread.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20031031

Corrected By:

20031219

4
1...12

Pharmacy Service: Make sure that residents are safe from serious medication errors.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Environmental: Have a program to keep infection from spreading.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Administration: Give lab tests only when the attending doctor ordered them.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20031031

Corrected By:

20031219

4
1...12

Resident Rights: Provide care for each resident in a way that keeps or builds the resident's quality of life.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050208

Corrected By:

20050603

4
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050208

Corrected By:

20050330

4
1...12

Pharmacy Service: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20031031

Corrected By:

20031219

4
1...12

Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

4
1...12

Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20031031

Corrected By:

20031219

4
1...12

Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060216

Corrected By:

20060402

2
1...12

Administration: Give lab tests only when the attending doctor ordered them.

Level of Harm:

Potential for minimal harm

Scope:

Pattern

Survey Date:

20050208

Corrected By:

20050330

2
1...12

Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

Level of Harm:

Potential for minimal harm

Scope:

Pattern

Survey Date:

20031031

Corrected By:

20031219

2
1...12

Environmental: Provide needed housekeeping and maintenance.

Level of Harm:

Potential for minimal harm

Scope:

Pattern

Survey Date:

20060216

Corrected By:

20060402

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SAINT AGNES HOSPITAL
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THE JOHNS HOPKINS HOSPITAL
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FRANKLIN SQUARE HOSPITAL CENTER
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GREATER BALTIMORE MEDICAL CENTER
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UNIVERSITY OF MARYLAND MEDICAL CENTER
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SINAI HOSPITAL OF BALTIMORE
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Phone: 4106019000