SNOW HILL NURSING & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Snow Hill Nursing & Rehab 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

SNOW HILL NURSING & REHAB CENTER
430 WEST MARKET STREET
SNOW HILL, MD 21863
(410) 632-3755

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 61
  • Certified Beds: 69

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is 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 "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 Snow Hill Nursing & Rehab 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.1%
ADL Index Range: 6-1038.0%
ADL Index Range: 0-529.6%
Total Percent:71.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.7%
ADL Index Range: 6-102.9%
ADL Index Range: 0-510.8%
Total Percent:21.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.3%
Total Percent:6.3%
 

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: 2-5
- No Signs of depression
0.7%
Total Percent:0.7%
 

Rating Details For Snow Hill Nursing & Rehab 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) Hours33 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 31 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 55 Minutes4 Hours and 11 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 High-Risk Long-Stay Residents Who Have Pressure Sores19%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder64%57%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-2%
Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%77%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%14%
Percent of Short-Stay Residents Who Have Delirium2%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 10/01/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/24/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/10/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009
Provide Enough Emergency Electricity.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009
Have Enough Outside Airflow.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/21/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/24/2009

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: 11/12/2009
  • Correction Date: 12/15/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/21/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/21/2010

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/21/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/02/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/24/2009
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.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/15/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Snow Hill Nursing & Rehab 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

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: 12/04/2009
  • Correction Date: 12/15/2009
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: 12/21/2010
  • Correction Date: 01/20/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 01/22/2009
  • Correction Date: 02/24/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/21/2010
  • Correction Date: 01/20/2011

Resident Assessment

Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Complaint Filed: 05/27/2010
  • Correction Date: 06/29/2010

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: 05/27/2010
  • Correction Date: 06/29/2010
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: 12/21/2010
  • Correction Date: 01/20/2011

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 Snow Hill Nursing & Rehab 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 10/29/2010.

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: 02/20/2009
  • Correction Date: 04/15/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/29/2010
  • Correction Date: 01/26/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/15/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/29/2010
  • Correction Date: 01/26/2011

Electrical

A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 11/13/2009
  • Correction Date: 01/01/2010

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 10/29/2010
  • Correction Date: 01/26/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/15/2009
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/15/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/15/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/15/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/16/2009
Source: Medicare Nursing Home Compare; Maryland Department of Health and Mental Hygiene - Retrieved 2011