CAROLYN BOONE LEWIS HEALTH CARE CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Carolyn Boone Lewis Health Care 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
CAROLYN BOONE LEWIS HEALTH CARE CENTER
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
(202) 279-5880
1380 SOUTHERN AVE SE
WASHINGTON, DC 20032
(202) 279-5880
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
92%Number of Residents and Certified Beds
- Residents: 168
- Certified Beds: 183
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Not Part of a Chain or Franchise
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 "Reduced Physical Function". 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 Carolyn Boone Lewis Health Care Center. 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: 6-10 | 24.5% |
| Total Percent: | 24.5% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 10.2% |
| Total Percent: | 10.2% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 10.2% |
| Total Percent: | 10.2% |
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: 2-5 - Less restorative nursing | 55.1% |
| Total Percent: | 55.1% |
Rating Details For Carolyn Boone Lewis Health Care 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 17 Minutes | 1 Hour and 1 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 24 Minutes | 40 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 18 Minutes | 2 Hours and 22 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 41 Minutes | 1 Hour and 41 Minutes |
| Total Nurse Hours | 3 Hours and 59 Minutes | 4 Hours and 3 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 Washington, D.C. are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Washington, D.C. Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 73% | 86% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 68% | 75% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 13% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 13% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 11% | 7% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 1% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 2% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 1% | 8% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 10% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 1% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 55% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 1% | 7% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 27% | 59% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 37% | 73% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | - | 12% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 5% | 15% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
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 08/11/2010.
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.
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Keep Accurate and Appropriate Medical Records.
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Follow All Laws and Professional Standards.
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Keep Accurate and Appropriate Medical Records.
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Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Follow All Laws and Professional Standards.
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1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
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1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Give Lab Tests Only when the Attending Doctor Ordered Them.
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Quickly Tell the Resident's Doctor the Results of Lab Tests.
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Keep Signed and Dated Reports of X-Rays and Other Tests.
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Keep Accurate and Appropriate Medical Records.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
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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.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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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.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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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.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Give or Get Dental Care for Each Resident.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give or Get Dental Care for Each Resident.
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Resident Assessment
Do an Assessment of the Resident Every Year.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
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Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Let Residents Give Themselves Their Drugs if They Are Able.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Try to Resolve Each Resident's Complaints Quickly.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Carolyn Boone Lewis Health Care 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 Complaints | Degree of Harm | Residents Affected |
Administration
Follow All Laws and Professional Standards.
| | |
Have Licensed, Certified, or Registered Staff to Give Needed Services.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| | |
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
| | |
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.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
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.
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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.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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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.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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.
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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.
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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 Carolyn Boone Lewis Health Care 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 08/04/2010.
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 |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Proper Backup Exit Lighting.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Fire Safety Features Required by Current Fire Safety Codes.
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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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Source: Medicare Nursing Home Compare; Dept of Health of Washington, D.C. - Health Regulation Admin, Health Care Facilities Division - Retrieved 2011
