DEANWOOD REHABILITATION AND WELLNESS CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Deanwood Rehabilitation and Wellness 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

DEANWOOD REHABILITATION AND WELLNESS CENTER
5000 BURROUGHS AVE. NE
WASHINGTON, DC 20019
(202) 399-7504

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 267
  • Certified Beds: 296

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

Get Free Help Finding Senior Care

  • Compare Costs and Services
  • 100% Free Service - No Obligation
  • Discuss Different Care Options Availabe
Fill out the form above to get started
Looking For*
City/State*
First Name*
Last Name*
Phone*
Email*

Note:* Required Fields

This FacilityFor-ProfitNon-ProfitGovt

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 Deanwood Rehabilitation and Wellness 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: 11-163.9%
ADL Index Range: 2-104.2%
Total Percent:8.1%
 

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: 2-101.5%
Total Percent:1.5%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 11-161.3%
Total Percent:1.3%
 

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: 11-1615.2%
ADL Index Range: 6-1018.0%
ADL Index Range: 0-529.6%
Total Percent:62.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.3%
ADL Index Range: 6-104.7%
ADL Index Range: 0-52.0%
Total Percent:13.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.5%
ADL Index Range: 0-53.4%
Total Percent:5.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.7%
ADL Index Range: 0-50.5%
Total Percent:6.2%
 

Extensive Services

  • 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: 2-16
- Isolation for active infectious disease
0.2%
Total Percent:0.2%
 

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: 15-16
- No Signs of depression
0.1%
ADL Index Range: 11-14
- No Signs of depression
0.3%
Total Percent:0.4%
 

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
0.4%
ADL Index Range: 6-10
- No Signs of depression
0.2%
Total Percent:0.6%
 

Rating Details For Deanwood Rehabilitation and Wellness 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) Hours20 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 10 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes2 Hours and 3 Minutes
Total Nurse Hours4 Hours and 3 Minutes4 Hours and 25 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 FacilityWashington, D.C. Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%75%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased25%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Who Were Physically Restrained2%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%55%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%1%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores18%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%73%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%59%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores16%15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%12%

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 04/26/2010.

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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Follow All Laws and Professional Standards.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/29/2008
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.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
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.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/29/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/29/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

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.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
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.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
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.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Give or Get Dental Care for Each Resident.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Give Special Rehabilitation by Skilled Workers, when Ordered by a Doctor.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Do an Assessment of the Resident Every Year.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
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.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/14/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/29/2008
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/14/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/09/2009
  • Correction Date: 08/21/2009
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.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 04/09/2009
  • Correction Date: 07/15/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
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.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/11/2008
  • Correction Date: 05/29/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/09/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/22/2009
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/18/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Have a Private Telephone Available for Use.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/26/2010
  • Correction Date: 07/23/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)04/26/2010$2,015
Civil Money Penalty (CMP)09/23/2008$6,760
Civil Money Penalty (CMP)04/26/2010$10,400
Civil Money Penalty (CMP)09/23/2008$13,000
Civil Money Penalty (CMP)12/01/2009$36,359
Denial of Payment for New Admission (DPNA)09/23/2008-
Denial of Payment for New Admission (DPNA)04/08/2009-
Denial of Payment for New Admission (DPNA)04/26/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Deanwood Rehabilitation and Wellness 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

Follow All Laws and Professional Standards.
  • Complaint Filed: 06/30/2008
  • Correction Date: 09/08/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/30/2008
  • Correction Date: 09/08/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 09/23/2008
  • Correction Date: 03/05/2009
Follow All Laws and Professional Standards.
  • Complaint Filed: 09/23/2008
  • Correction Date: 03/05/2009
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.
  • Complaint Filed: 09/23/2008
  • Correction Date: 03/05/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/01/1900
Follow All Laws and Professional Standards.
  • Complaint Filed: 09/24/2008
  • Correction Date: 11/03/2008
Follow All Laws and Professional Standards.
  • Complaint Filed: 10/26/2009
  • Correction Date: 11/20/2009
Follow All Laws and Professional Standards.
  • Complaint Filed: 11/18/2009
  • Correction Date: 11/20/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/18/2009
  • Correction Date: 11/20/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009
Follow All Laws and Professional Standards.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009
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.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009
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.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/20/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/20/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/20/2010

Environmental

Get Rid of Garbage Properly.
  • Complaint Filed: 07/18/2008
  • Correction Date: 08/27/2008
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 09/04/2008
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/23/2008
  • Correction Date: 03/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/26/2009
  • Correction Date: 08/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 02/06/2009
  • Correction Date: 02/19/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 12/01/2009
  • Correction Date: 12/11/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 09/23/2008
  • Correction Date: 03/05/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 02/06/2009
  • Correction Date: 02/19/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/30/2008
  • Correction Date: 09/08/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/01/1900
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/08/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/01/1900
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/06/2009
  • Correction Date: 02/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/16/2009
  • Correction Date: 11/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/09/2010
  • Correction Date: 08/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/20/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/20/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/01/1900
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 09/23/2008
  • Correction Date: 01/01/1900
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: 09/23/2008
  • Correction Date: 01/01/1900
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: 09/24/2008
  • Correction Date: 11/03/2008
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: 11/18/2009
  • Correction Date: 11/20/2009

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: 04/15/2009
  • Correction Date: 05/07/2009
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: 09/16/2009
  • Correction Date: 10/24/2009
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: 06/14/2010
  • Correction Date: 07/07/2010

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 Deanwood Rehabilitation and Wellness 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 04/19/2010.

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

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/02/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/02/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/06/2009
  • Correction Date: 06/30/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/06/2009
  • Correction Date: 06/30/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/02/2008
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/11/2008
  • Correction Date: 04/02/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/19/2010
  • Correction Date: 07/23/2010
Source: Medicare Nursing Home Compare; Dept of Health of Washington, D.C. - Health Regulation Admin, Health Care Facilities Division - Retrieved 2011