CROMWELL CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Cromwell 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

CROMWELL CENTER
8710 EMGE ROAD
BALTIMORE, MD 21234
(410) 661-5955

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 122
  • Certified Beds: 135

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:

Towson | Glen Arm | Timonium

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 Cromwell 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-167.1%
ADL Index Range: 6-1017.7%
ADL Index Range: 0-515.4%
Total Percent:40.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 6-1020.1%
ADL Index Range: 0-56.5%
Total Percent:31.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-102.9%
ADL Index Range: 0-54.4%
Total Percent:12.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.7%
ADL Index Range: 6-101.5%
ADL Index Range: 0-52.9%
Total Percent:5.1%
 

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: 11-14
- Signs of depression
1.8%
ADL Index Range: 6-10
- No Signs of depression
1.5%
ADL Index Range: 2-5
- No Signs of depression
0.06%
Total Percent:3.3%
 

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: 6-10
- No Signs of depression
3.4%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:3.7%
 

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: 6-10
- No Signs of depression
1.5%
ADL Index Range: 2-5
- No Signs of depression
0.1%
ADL Index Range: 0-1
- No Signs of depression
1.2%
Total Percent:2.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
1.0%
Total Percent:1.0%
 

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: 0-1
- Less restorative nursing
0.06%
Total Percent:0.06%
 

Rating Details For Cromwell 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) Hours50 Minutes1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours46 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 10 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 46 Minutes4 Hours and 31 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 Vaccination72%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season86%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%14%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores20%12%
Percent of Long-Stay Residents Who Lose Too Much Weight12%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder74%57%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores6%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season72%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%77%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%14%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores12%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 09/28/2010.

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: 04/04/2008
  • Correction Date: 05/19/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010

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.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
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.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/04/2008
  • Correction Date: 05/19/2008
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/04/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cromwell 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: 06/19/2009
  • Correction Date: 08/03/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/09/2009
  • Correction Date: 03/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Complaint Filed: 04/04/2008
  • Correction Date: 05/19/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009
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: 06/19/2009
  • Correction Date: 08/03/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 06/19/2009
  • Correction Date: 08/03/2009

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 Cromwell 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 08/17/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/17/2010
  • Correction Date: 10/19/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 08/17/2010
  • Correction Date: 10/19/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 05/16/2008
  • Correction Date: 08/11/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/19/2009
  • Correction Date: 08/20/2009
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011