RANDOLPH HILLS NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Randolph Hills Nursing Home. 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

RANDOLPH HILLS NURSING HOME
4011 RANDOLPH ROAD
WHEATON, MD 20902
(301) 933-2500

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

Residents: 97
Certified Beds: 112

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kensington | Rockville | Silver Spring

Resident Services

The information below lists services this facility has provided for residents from October through November 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 Randolph Hills Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent 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: 11-16	20.4%
ADL Index Range: 6-10	33.2%
ADL Index Range: 0-5	24.3%
Total Percent:	77.8%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	13.5%
Total Percent:	13.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	0.6%
Total Percent:	0.6%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	3.9%
Total Percent:	3.9%

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	4.2%
Total Percent:	4.2%

Rating Details For Randolph Hills Nursing Home

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 Day	Reported	Expected
Registered Nurse (RN) Hours	32 Minutes	1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 9 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 38 Minutes	2 Hours and 20 Minutes
Total Licensed Nurse Hours	1 Hour and 42 Minutes	1 Hour and 47 Minutes
Total Nurse Hours	4 Hours and 19 Minutes	4 Hours and 7 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 Facility

Maryland Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90%	87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	10%	11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	62%	57%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	13%	12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	-	2%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	6%	8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	15%	14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	1%	4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	7%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90%	80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	68%	77%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	12%	13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	2%	14%
Percent of Short-Stay Residents Who Have Delirium	-	2%

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 07/01/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Follow All Laws and Professional Standards. Inspection Date: 06/12/2008 Correction Date: 07/31/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Follow All Laws and Professional Standards. Inspection Date: 07/01/2010 Correction Date: 08/31/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/12/2008 Correction Date: 07/31/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/12/2008 Correction Date: 07/15/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/12/2008 Correction Date: 07/31/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/01/2010 Correction Date: 08/31/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/01/2010 Correction Date: 08/31/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.

Inspection Date: 07/01/2010
Correction Date: 08/31/2010

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: 07/15/2009 Correction Date: 08/31/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/15/2009 Correction Date: 08/31/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/12/2008 Correction Date: 08/15/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/01/2010 Correction Date: 08/31/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/01/2010 Correction Date: 08/31/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/01/2010 Correction Date: 08/31/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
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: 07/15/2009 Correction Date: 08/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/01/2010 Correction Date: 08/31/2010
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: 07/01/2010 Correction Date: 08/31/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 06/12/2008 Correction Date: 08/15/2008
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 07/15/2009 Correction Date: 08/31/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 07/01/2010 Correction Date: 08/31/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Randolph Hills Nursing Home, 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 Complaints

Degree of Harm

Residents Affected