FOX CHASE REHABILITATION & NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Fox Chase Rehabilitation & Nursing 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

FOX CHASE REHABILITATION & NURSING CENTER
2015 EAST-WEST HIGHWAY
SILVER SPRING, MD 20910
(301) 587-2400

Nursing Home Ratings

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

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 66
  • Certified Beds: 87

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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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 "Very 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 Fox Chase Rehabilitation & Nursing 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: 2-104.3%
Total Percent:4.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 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: 11-164.2%
ADL Index Range: 2-100.3%
Total Percent:4.4%
 

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: 11-162.0%
Total Percent:2.0%
 

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: 11-163.2%
ADL Index Range: 6-1010.5%
ADL Index Range: 0-54.6%
Total Percent:18.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.7%
ADL Index Range: 6-1010.5%
ADL Index Range: 0-539.3%
Total Percent:54.4%
 

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: 6-101.1%
ADL Index Range: 0-51.6%
Total Percent:3.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
Total Percent:0.4%
 

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: 2-5
- No Signs of depression
4.3%
Total Percent:4.3%
 

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: 11-14
- No Signs of depression
2.7%
ADL Index Range: 6-10
- No Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
2.3%
Total Percent:5.3%
 

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: 15-16
- Signs of depression
1.4%
ADL Index Range: 11-14
- No Signs of depression
0.1%
ADL Index Range: 0-1
- No Signs of depression
0.4%
Total Percent:2.0%
 

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: 0-1
- Less restorative nursing
1.1%
Total Percent:1.1%
 

Rating Details For Fox Chase Rehabilitation & Nursing 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) Hours25 Minutes1 Hour and 15 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours23 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 22 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours48 Minutes1 Hour and 60 Minutes
Total Nurse Hours2 Hours and 11 Minutes4 Hours and 28 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 Season83%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination74%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%14%
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 Bladder76%57%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%9%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season38%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination34%77%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%14%
Percent of Short-Stay Residents Who Have Pressure Sores21%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 01/14/2011.

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: 02/01/2010
  • Correction Date: 03/18/2010
Follow All Laws and Professional Standards.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 02/01/2010
  • Correction Date: 03/18/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011

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: 02/01/2010
  • Correction Date: 03/18/2010
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 01/14/2011
  • Correction Date: 02/28/2011
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: 01/14/2011
  • Correction Date: 02/28/2011
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: 01/14/2011
  • Correction Date: 02/28/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Fox Chase Rehabilitation & Nursing 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: 04/30/2008
  • Correction Date: 07/09/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/01/2009
Follow All Laws and Professional Standards.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/01/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/01/2009
  • Correction Date: 09/23/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/01/2009
  • Correction Date: 11/15/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/08/2010
  • Correction Date: 10/08/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010

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: 02/01/2010
  • Correction Date: 03/18/2010
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: 06/15/2010
  • Correction Date: 07/15/2010

Nutrition and Dietary

Hire a Qualified Dietician.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/19/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 04/30/2008
  • Correction Date: 07/09/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010
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: 02/01/2010
  • Correction Date: 03/18/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/30/2008
  • Correction Date: 07/09/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/19/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/16/2008
  • Correction Date: 02/01/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/25/2009
  • Correction Date: 09/11/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 10/01/2009
  • Correction Date: 11/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/15/2010
  • Correction Date: 07/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/15/2010
  • Correction Date: 07/15/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 06/15/2010
  • Correction Date: 07/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/08/2010
  • Correction Date: 10/08/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/23/2010
  • Correction Date: 10/15/2010

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: 02/01/2010
  • Correction Date: 03/18/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Complaint Filed: 06/15/2010
  • Correction Date: 07/15/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 09/08/2010
  • Correction Date: 10/08/2010

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: 04/30/2008
  • Correction Date: 07/09/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Complaint Filed: 09/01/2009
  • Correction Date: 09/16/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 10/01/2009
  • Correction Date: 11/15/2009
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.
  • Complaint Filed: 02/01/2010
  • Correction Date: 03/18/2010

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 Fox Chase Rehabilitation & Nursing 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 02/25/2011.

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: 02/04/2010
  • Correction Date: 02/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/23/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/15/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/25/2011
  • Correction Date: 02/25/2011
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/15/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/17/2008
  • Correction Date: 12/18/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/15/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/15/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/17/2008
  • Correction Date: 12/17/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/16/2011
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011