ST. MARY'S NURSING CENTER INC

The information listed below provides an in-depth look into the type and quality of care offered at St. Mary's Nursing Center Inc. 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

ST. MARY'S NURSING CENTER INC
21585 PEABODY STREET
LEONARDTOWN, MD 20650
(301) 475-8000

Nursing Home Ratings

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

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 151
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Other
  • Offers Both Resident and Family Counseling Services
  • 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 St. Mary's Nursing Center Inc. 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

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: 2-101.4%
Total Percent:1.4%
 

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: 2-101.3%
Total Percent:1.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-160.3%
Total Percent:0.3%
 

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: 11-169.1%
ADL Index Range: 6-1010.0%
ADL Index Range: 0-520.3%
Total Percent:39.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.8%
ADL Index Range: 6-1018.9%
ADL Index Range: 0-518.1%
Total Percent:48.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.2%
ADL Index Range: 6-101.9%
ADL Index Range: 0-50.4%
Total Percent:4.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.7%
ADL Index Range: 0-51.0%
Total Percent:2.7%
 

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
- Tracheostomy care or ventilator/respirator
1.3%
Total Percent:1.3%
 

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: 11-14
- No Signs of depression
0.2%
Total Percent:0.2%
 

Rating Details For St. Mary's Nursing Center Inc

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 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 8 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 26 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 54 Minutes4 Hours and 14 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 Who Were Assessed and Given Pneumococcal Vaccination90-100%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%57%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%77%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain27%14%
Percent of Short-Stay Residents Who Have Pressure Sores19%13%
Percent of Short-Stay Residents Who Have Delirium1%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 04/30/2010.

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

Follow All Laws and Professional Standards.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/25/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/20/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/20/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/20/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/25/2008

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: 01/30/2009
  • Correction Date: 03/02/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/29/2007
  • Correction Date: 01/20/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Mary's Nursing Center Inc, 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/30/2010
  • Correction Date: 06/14/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/02/2008
  • Correction Date: 05/09/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/13/2008
  • Correction Date: 09/16/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 04/30/2010
  • Correction Date: 06/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/30/2010
  • Correction Date: 06/14/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Complaint Filed: 04/30/2010
  • Correction Date: 06/14/2010

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 St. Mary's Nursing Center Inc 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 01/20/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/09/2007
  • Correction Date: 10/15/2007
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/29/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/09/2007
  • Correction Date: 10/15/2007

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/09/2007
  • Correction Date: 08/10/2007

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/29/2010

Exits and Egress

Hallway or Ground-Level Exits in All Residents' Rooms.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/09/2007
  • Correction Date: 09/30/2007
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/09/2007
  • Correction Date: 09/30/2007

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/29/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/09/2007
  • Correction Date: 09/30/2007
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/29/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/09/2007
  • Correction Date: 09/30/2007
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/09/2007
  • Correction Date: 08/10/2007
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/23/2008
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011