HEALTH & REHABILITATION CENTER AT THOMAS CIRCLE
Address
1330 MASSACHUSETTS AVENUE NW
WASHINGTON, DC 20005
(202) 628-3844
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 23
- Certified Beds: 27
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- 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 "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 Health & Rehabilitation Center at Thomas Circle. 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 18.7% |
ADL Index Range: 6-10 | 19.6% |
ADL Index Range: 0-5 | 24.2% |
Total Percent: | 62.5% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 11.0% |
ADL Index Range: 6-10 | 11.0% |
ADL Index Range: 0-5 | 8.9% |
Total Percent: | 30.8% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 2.3% |
Total Percent: | 2.3% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 1.4% |
ADL Index Range: 0-5 | 2.0% |
Total Percent: | 3.5% |
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 | 0.9% |
Total Percent: | 0.9% |
Rating Details For Health & Rehabilitation Center at Thomas Circle
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 | 1 Hour and 34 Minutes | 1 Hour and 26 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 11 Minutes | 50 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 48 Minutes | 2 Hours and 38 Minutes |
Total Licensed Nurse Hours | 2 Hours and 45 Minutes | 2 Hours and 15 Minutes |
Total Nurse Hours | 5 Hours and 34 Minutes | 4 Hours and 53 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 | 60% | 86% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 75% | 75% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 8% | 3% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 2% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 3% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 31% | 8% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 7% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 1% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 13% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 83% | 55% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 18% | 13% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 7% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 75% | 59% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 86% | 73% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 14% | 15% |
Percent of Short-Stay Residents Who Have Delirium | 5% | 3% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3% | 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 03/18/2011.
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 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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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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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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Get Rid of Garbage Properly.
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Have a Program to Keep Infection from Spreading.
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Keep All Essential Equipment Working Safely.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Mistreatment
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
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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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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Properly Mark Drugs and Other Similar Products.
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Quality Care
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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Resident Assessment
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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Resident Rights
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
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Let Residents Complain Without Being Treated Differently or Badly.
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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 Health & Rehabilitation Center at Thomas Circle 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 04/01/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of 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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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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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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