APEX HEALTH OF SILVER SPRING

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 Apex Health of Silver Spring. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 09/17/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/11/2008 Correction Date: 09/30/2008
Follow All Laws and Professional Standards. Inspection Date: 10/09/2009 Correction Date: 11/25/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 10/09/2009 Correction Date: 11/25/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/11/2008 Correction Date: 09/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/11/2008 Correction Date: 09/30/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/11/2008 Correction Date: 09/30/2008
Give or Get Dental Care for Each Resident. Inspection Date: 08/11/2008 Correction Date: 09/30/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/09/2009 Correction Date: 11/25/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 10/09/2009 Correction Date: 11/25/2009

The table below lists incident reports by the nursing staff or administration for Apex Health of Silver Spring, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 10/09/2009 Correction Date: 11/25/2009
Keep Accurate and Appropriate Medical Records. Complaint Filed: 10/09/2009 Correction Date: 11/25/2009
Follow All Laws and Professional Standards. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010
Keep Accurate and Appropriate Medical Records. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/09/2009 Correction Date: 09/17/2009

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: 10/09/2009 Correction Date: 11/25/2009
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: 06/08/2010 Correction Date: 07/21/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Complaint Filed: 03/27/2009 Correction Date: 06/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 10/09/2009 Correction Date: 11/25/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 06/08/2010 Correction Date: 07/21/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010

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: 10/09/2009 Correction Date: 11/25/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 09/17/2010 Correction Date: 10/29/2010

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: 10/09/2009 Correction Date: 11/25/2009

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 Apex Health of Silver Spring 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 10/13/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Properly Working Sprinkler Alarm System. Inspection Date: 09/10/2008 Correction Date: 10/21/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/10/2008 Correction Date: 10/21/2008
Portable Fire Extinguishers. Inspection Date: 09/10/2008 Correction Date: 10/21/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Portable Fire Extinguishers. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/13/2010 Correction Date: 12/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/13/2010 Correction Date: 12/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/10/2008 Correction Date: 12/04/2008

Electrical

Proper Power Supply for Life Support Equipment. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/13/2010 Correction Date: 12/15/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 09/10/2008 Correction Date: 10/21/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 10/16/2009 Correction Date: 12/22/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/13/2010 Correction Date: 12/15/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Fire-Resistant Room Wall Surfaces. Inspection Date: 10/16/2009 Correction Date: 12/22/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/10/2008 Correction Date: 12/04/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/13/2010 Correction Date: 12/15/2010
No-Smoking Signs Where Oxygen is Used. Inspection Date: 10/13/2010 Correction Date: 12/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/10/2008 Correction Date: 10/21/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/13/2010 Correction Date: 12/15/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 10/16/2009 Correction Date: 12/22/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 10/13/2010 Correction Date: 12/15/2010