FAHRNEY-KEEDY MEMORIAL HOME

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

FAHRNEY-KEEDY MEMORIAL HOME
8507 MAPLEVILLE ROAD
BOONSBORO, MD 21713
(301) 733-6284

Nursing Home Ratings

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

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 95
  • Certified Beds: 97

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • Part of a Continuing Care Retirement Community (CCRC)
  • 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 "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 Fahrney-Keedy Memorial Home. 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: 11-166.4%
ADL Index Range: 6-105.7%
ADL Index Range: 0-517.0%
Total Percent:29.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.5%
ADL Index Range: 6-1019.9%
ADL Index Range: 0-510.2%
Total Percent:42.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.0%
ADL Index Range: 6-105.4%
ADL Index Range: 0-56.1%
Total Percent:17.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.1%
Total Percent:3.1%
 

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
4.2%
Total Percent:4.2%
 

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
0.7%
Total Percent:0.7%
 

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: 6-10
- Less restorative nursing
2.8%
Total Percent:2.8%
 

Rating Details For Fahrney-Keedy Memorial 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 DayReportedExpected
Registered Nurse (RN) Hours32 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 17 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 37 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 48 Minutes1 Hour and 42 Minutes
Total Nurse Hours4 Hours and 25 Minutes4 Hours and 15 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 High-Risk Long-Stay Residents Who Have Pressure Sores6%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
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 Infection15%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder67%57%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%14%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%4%
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 Season90-100%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 Have Pressure Sores7%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%14%
Percent of Short-Stay Residents Who Have Delirium2%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 06/29/2010.

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: 02/11/2008
  • Correction Date: 04/30/2008
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/30/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/30/2008

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/30/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/30/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Fahrney-Keedy Memorial 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 ComplaintsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Complaint Filed: 06/29/2010
  • Correction Date: 08/05/2010

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 06/29/2010
  • Correction Date: 08/05/2010

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: 07/16/2010
  • Correction Date: 08/30/2010

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.
  • Complaint Filed: 03/25/2009
  • Correction Date: 05/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/29/2010
  • Correction Date: 08/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 03/25/2009
  • Correction Date: 05/01/2009

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: 03/25/2009
  • Correction Date: 05/01/2009

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 Fahrney-Keedy Memorial Home 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 05/10/2010.

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: 02/11/2008
  • Correction Date: 04/01/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/30/2009
  • Correction Date: 05/18/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/01/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/01/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/30/2009
  • Correction Date: 05/18/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/10/2010
  • Correction Date: 05/28/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/10/2010
  • Correction Date: 06/01/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/01/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/30/2009
  • Correction Date: 05/18/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/01/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/01/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/10/2010
  • Correction Date: 05/28/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 05/10/2010
  • Correction Date: 05/28/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/30/2009
  • Correction Date: 05/18/2009
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011