SPA CREEK CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Spa Creek Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SPA CREEK CENTER
35 MILKSHAKE LANE
ANNAPOLIS, MD 21403
(410) 269-5100

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 118
  • Certified Beds: 134

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Edgewater | Arnold | Crownsville

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Spa Creek Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.4%
ADL Index Range: 2-102.3%
Total Percent:2.7%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.10%
Total Percent:0.10%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.3%
Total Percent:0.3%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-165.0%
ADL Index Range: 6-1035.6%
ADL Index Range: 0-523.6%
Total Percent:64.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.3%
ADL Index Range: 6-109.9%
ADL Index Range: 0-56.4%
Total Percent:19.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
ADL Index Range: 6-103.7%
ADL Index Range: 0-50.8%
Total Percent:5.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
ADL Index Range: 6-102.4%
ADL Index Range: 0-50.4%
Total Percent:4.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.4%
ADL Index Range: 2-5
- No Signs of depression
0.6%
Total Percent:1.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.02%
ADL Index Range: 6-10
- No Signs of depression
0.5%
Total Percent:0.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.05%
ADL Index Range: 6-10
- No Signs of depression
1.1%
ADL Index Range: 2-5
- No Signs of depression
0.3%
ADL Index Range: 0-1
- No Signs of depression
0.2%
Total Percent:1.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.2%
ADL Index Range: 6-10
- Less restorative nursing
0.08%
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:0.5%
 

Rating Details For Spa Creek Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 2 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 14 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 58 Minutes2 Hours and 1 Minutes
Total Nurse Hours4 Hours and 13 Minutes4 Hours and 33 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Maryland are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMaryland Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination78%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%57%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight12%8%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%77%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season71%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain27%14%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores18%13%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/19/2009.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/31/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 11/19/2009
  • Correction Date: 01/04/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Have Enough Outside Airflow.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/31/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/31/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/31/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/19/2009
  • Correction Date: 01/04/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 11/19/2009
  • Correction Date: 01/04/2010

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008

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.
  • Inspection Date: 11/20/2007
  • Correction Date: 01/04/2008
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.
  • Inspection Date: 11/19/2009
  • Correction Date: 01/04/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Spa Creek Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/18/2008
  • Correction Date: 10/03/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/09/2009
  • Correction Date: 07/23/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/23/2010
  • Correction Date: 11/07/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/18/2008
  • Correction Date: 10/03/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/19/2008
  • Correction Date: 11/28/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/21/2009
  • Correction Date: 03/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 01/21/2009
  • Correction Date: 03/23/2009

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 11/19/2008
  • Correction Date: 11/28/2008
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Complaint Filed: 09/23/2010
  • Correction Date: 11/07/2010

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.
  • Complaint Filed: 08/18/2008
  • Correction Date: 10/03/2008
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.
  • Complaint Filed: 11/19/2008
  • Correction Date: 11/28/2008
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.
  • Complaint Filed: 11/08/2010
  • Correction Date: 12/13/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Spa Creek Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/01/2009.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/21/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/21/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/16/2007
  • Correction Date: 12/05/2007
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/16/2007
  • Correction Date: 12/31/2007

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008
Gift Shops Separated and Protected As Hazardous Areas.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/21/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/21/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/16/2007
  • Correction Date: 11/16/2007

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 11/16/2007
  • Correction Date: 12/01/2007
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/21/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/01/2009
  • Correction Date: 02/08/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 11/16/2007
  • Correction Date: 01/16/2008
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011