TRANSITIONS HEALTHCARE AT SYKESVILLE

The information listed below provides an in-depth look into the type and quality of care offered at Transitions Healthcare at Sykesville. 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

TRANSITIONS HEALTHCARE AT SYKESVILLE
7309 SECOND AVENUE
SYKESVILLE, MD 21784
(410) 795-1100

Nursing Home Ratings

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

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 115
  • Certified Beds: 118

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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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 Transitions Healthcare at Sykesville. 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: 11-160.7%
Total Percent:0.7%
 

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: 11-1618.3%
ADL Index Range: 6-1027.4%
ADL Index Range: 0-529.3%
Total Percent:74.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-102.5%
ADL Index Range: 0-50.6%
Total Percent:8.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.4%
ADL Index Range: 6-102.3%
ADL Index Range: 0-52.1%
Total Percent:6.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.0%
ADL Index Range: 6-102.3%
ADL Index Range: 0-50.8%
Total Percent:4.0%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.9%
Total Percent:0.9%
 

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
0.1%
Total Percent:0.1%
 

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: 11-14
- No Signs of depression
0.9%
ADL Index Range: 6-10
- No Signs of depression
0.9%
Total Percent:1.7%
 

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: 11-14
- No Signs of depression
0.8%
ADL Index Range: 0-1
- No Signs of depression
0.6%
Total Percent:1.3%
 

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: 15-16
- Less restorative nursing
0.9%
ADL Index Range: 6-10
- Two or more restorative nursing on 6+ days/wk
0.07%
ADL Index Range: 6-10
- Less restorative nursing
0.5%
Total Percent:1.5%
 

Rating Details For Transitions Healthcare at Sykesville

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) Hours28 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 38 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 55 Minutes
Total Nurse Hours3 Hours and 58 Minutes4 Hours and 21 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 Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%57%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%11%
Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%77%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%14%
Percent of Short-Stay Residents Who Have Pressure Sores14%13%
Percent of Short-Stay Residents Who Have Delirium1%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 07/09/2010.

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: 05/01/2008
  • Correction Date: 06/04/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/01/2008
  • Correction Date: 07/10/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/11/2009
  • Correction Date: 07/01/2009
Have Enough Outside Airflow.
  • Inspection Date: 05/11/2009
  • Correction Date: 07/01/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/11/2009
  • Correction Date: 07/01/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/01/2008
  • Correction Date: 06/04/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/11/2009
  • Correction Date: 07/01/2009

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: 05/01/2008
  • Correction Date: 06/04/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/11/2009
  • Correction Date: 07/01/2009

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 05/01/2008
  • Correction Date: 07/10/2008
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: 05/01/2008
  • Correction Date: 06/04/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Transitions Healthcare at Sykesville, 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

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010

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.
  • Complaint Filed: 06/03/2008
  • Correction Date: 06/24/2008
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.
  • Complaint Filed: 07/23/2009
  • Correction Date: 01/01/1900

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.
  • Complaint Filed: 10/15/2009
  • Correction Date: 11/24/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010
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.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/04/2008
  • Correction Date: 06/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/01/2009
  • Correction Date: 05/16/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 04/01/2009
  • Correction Date: 05/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/04/2008
  • Correction Date: 06/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 10/15/2009
  • Correction Date: 11/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010
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: 07/09/2010
  • Correction Date: 08/20/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010

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 Transitions Healthcare at Sykesville 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 06/08/2010.

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: 01/02/2008
  • Correction Date: 01/23/2008
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 01/02/2008
  • Correction Date: 01/23/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/02/2008
  • Correction Date: 02/15/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009
Portable Fire Extinguishers.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/02/2008
  • Correction Date: 01/12/2008

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 01/02/2008
  • Correction Date: 03/17/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/02/2008
  • Correction Date: 03/17/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 01/02/2008
  • Correction Date: 01/23/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/02/2008
  • Correction Date: 01/17/2008

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/04/2009
  • Correction Date: 07/31/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/08/2010
  • Correction Date: 08/10/2010

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: 01/02/2008
  • Correction Date: 01/05/2008
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011