SIBLEY MEMORIAL HOSPITAL RENAISSANCE

The information listed below provides an in-depth look into the type and quality of care offered at Sibley Memorial Hospital Renaissance. 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

SIBLEY MEMORIAL HOSPITAL RENAISSANCE
5255 LOUGHBORO ROAD NW
WASHINGTON, DC 20016
(202) 537-4000

Nursing Home Ratings

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

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 45

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

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 "Medium 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 Sibley Memorial Hospital Renaissance. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1015.5%
ADL Index Range: 0-510.6%
Total Percent:26.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1015.8%
ADL Index Range: 0-513.2%
Total Percent:29.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1019.4%
ADL Index Range: 0-520.8%
Total Percent:40.2%
 

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
- No Signs of depression
3.8%
ADL Index Range: 2-5
- No Signs of depression
0.9%
Total Percent:4.7%
 

Rating Details For Sibley Memorial Hospital Renaissance

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) Hours4 Hours and 2 Minutes2 Hours and 30 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 11 Minutes1 Hour and 10 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 43 Minutes2 Hours and 38 Minutes
Total Licensed Nurse Hours5 Hours and 14 Minutes3 Hours and 40 Minutes
Total Nurse Hours7 Hours and 57 Minutes6 Hours and 18 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 Washington, D.C. are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityWashington, D.C. Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%73%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%59%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain41%12%
Percent of Short-Stay Residents Who Have Delirium7%3%
Percent of Short-Stay Residents Who Have Pressure Sores13%15%

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 06/04/2010.

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

Follow All Laws and Professional Standards.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Follow All Laws and Professional Standards.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010

Environmental

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/23/2009
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: 06/04/2010
  • Correction Date: 07/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/27/2010
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: 06/04/2010
  • Correction Date: 07/27/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/09/2008
  • Correction Date: 08/15/2008
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: 06/11/2009
  • Correction Date: 07/23/2009
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: 06/04/2010
  • Correction Date: 07/27/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sibley Memorial Hospital Renaissance, 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: 03/29/2010
  • Correction Date: 04/16/2010

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: 08/20/2010
  • Correction Date: 09/20/2010

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 Sibley Memorial Hospital Renaissance 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 06/03/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/03/2010
  • Correction Date: 06/03/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/03/2010
  • Correction Date: 06/07/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/28/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/14/2008
  • Correction Date: 08/15/2008
Source: Medicare Nursing Home Compare; Dept of Health of Washington, D.C. - Health Regulation Admin, Health Care Facilities Division - Retrieved 2011