Cycle 1
Health 2025-04-21 · Fire 2025-04-21
22 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Baltimore, MD
King David Nursing And Rehabilitation Center
3-star overall rating with 3-star inspections with 22 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
4204 Old Milford Mill Road, Baltimore, MD
(410) 486-1500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Autumn Lake Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
60 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.26
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.13
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,958
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.24% · Performance 23.93% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.39% · Performance 9.47% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.55
Baseline 56.91% · Performance 45.10% · Measure score 4.55 · Achievement 4.55 · Improvement 3.18
Adjusted total nurse staffing
1.26
Baseline 3.35 hours · Performance 3.44 hours · Measure score 1.26 · Achievement 1.26 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 273 · Observed rate 8.42% · Lower 95% interval 7.58% |
| Discharge to community | 58.33% |
50.57%
7.8 pts better
|
Better than the National Rate · Eligible stays 294 · Observed rate 51.36% · Lower 95% interval 51.27% |
| Medicare spending per beneficiary | 1.58 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 98.24% |
95.27%
3 pts better
|
Numerator 223 · Denominator 227 |
| Falls with major injury | 1.32% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 227 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 72 · Denominator 126 |
| Discharge mobility score | 51.59% |
50.94%
0.7 pts better
|
Numerator 65 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 5.73% |
2.29%
3.4 pts worse
|
Numerator 13 · Denominator 227 · Adjusted rate 4.43% |
| Healthcare-associated infections requiring hospitalization | 9.47% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 201 · Observed rate 10.95% · Lower 95% interval 6.79% |
| Staff COVID-19 vaccination coverage | 98.71% |
8.2%
90.5 pts better
|
Numerator 153 · Denominator 155 |
| Staff flu vaccination coverage | 73.33% |
42%
31.3 pts better
|
Numerator 110 · Denominator 150 |
| Discharge function score | 64.29% |
56.45%
7.8 pts better
|
Numerator 81 · Denominator 126 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 80 · Denominator 80 |
| Transfer of health information to patient | 99.07% |
96.28%
2.8 pts better
|
Numerator 106 · Denominator 107 |
| Resident COVID-19 vaccinations up to date | 14.91% |
25.2%
10.3 pts worse
|
Numerator 17 · Denominator 114 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.3
0.8 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.2
0.7 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.9%
8.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.6%
3.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.3%
1.9 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 41.2% |
21.4%
19.8 pts worse
|
11.4%
29.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 40.3% · Q3 43.3% · Q4 51.6% · 4Q avg 41.2% |
| Percentage of long-stay residents who lose too much weight | 11.1% |
5.7%
5.4 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.9% · Q3 14.9% · Q4 10.0% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
16.1%
0.3 pts worse
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 16.2% · Q3 13.2% · Q4 15.7% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.1% |
15.3%
0.8 pts worse
|
16.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 17.3% · Q3 16.7% · Q4 16.1% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.2% |
26.6%
8.4 pts better
|
16.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 18.5% · Q3 27.2% · Q4 9.1% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.6% |
22.9%
10.7 pts worse
|
14.9%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.3% · Q2 23.8% · Q3 40.3% · Q4 23.0% · 4Q avg 33.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.5%
0.8 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.5% |
25.4%
3.1 pts worse
|
19.8%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 25.5% · Q3 38.9% · Q4 24.3% · 4Q avg 28.5% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
6.3%
0.6 pts better
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.0% · Q3 6.2% · Q4 5.3% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
78.4%
20.6 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.4% · Q3 100.0% · Q4 97.8% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
9.9%
3.6 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 6.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
80.6%
18.8 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
21.2%
4.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 26.4% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-30 · Fire 2021-04-30
24 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2018-10-24 · Fire 2018-10-24
14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-01
F · Potential for more than minimal harm
2025-04-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-01
F · Potential for more than minimal harm
2025-04-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-01
F · Potential for more than minimal harm
2025-04-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-06-01
E · Potential for more than minimal harm
2025-04-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-21
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-01
E · Potential for more than minimal harm
2021-04-30
K221 · Egress Deficiencies
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2021-05-17
E · Potential for more than minimal harm
2021-04-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-17
D · Potential for more than minimal harm
2021-04-30
K900 · Miscellaneous Deficiencies
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2021-05-17
F · Potential for more than minimal harm
2018-10-24
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-01-02
F · Potential for more than minimal harm
2018-10-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-01-02
F · Potential for more than minimal harm
2018-10-24
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-01-02
F · Potential for more than minimal harm
2018-10-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-01-02
E · Potential for more than minimal harm
2018-10-24
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-01-02
E · Potential for more than minimal harm
2018-10-24
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2019-01-02
D · Potential for more than minimal harm
2018-10-24
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-01-02
D · Potential for more than minimal harm
2018-10-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-01-02
D · Potential for more than minimal harm
2018-10-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-01-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-18
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F635 · Resident Assessment and Care Planning Deficiencies
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-09-18
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-10-24
D · Potential for more than minimal harm
2025-04-21
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F559 · Resident Rights Deficiencies
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-15
D · Potential for more than minimal harm
2025-04-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-06-15
E · Potential for more than minimal harm
2021-04-30
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-05-31
E · Potential for more than minimal harm
2021-04-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-05-31
E · Potential for more than minimal harm
2021-04-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-05-31
E · Potential for more than minimal harm
2021-04-30
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-05-31
E · Potential for more than minimal harm
2021-04-30
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2021-05-31
E · Potential for more than minimal harm
2021-04-30
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-05-31
D · Potential for more than minimal harm
2021-04-30
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-05-31
D · Potential for more than minimal harm
2018-10-24
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-12-06
D · Potential for more than minimal harm
2018-10-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-12-06
Penalties and ownership
What sits behind the stars
Ownership
Stern, Aryeh
5% Or Greater Direct Ownership Interest · Individual
King David Equities LLC
5% Or Greater Direct Ownership Interest · Organization
4260 Group LLC
5% Or Greater Direct Ownership Interest · Organization
The Markstein Group LLC
5% Or Greater Direct Ownership Interest · Organization
Bharaj, Narender
Operational/Managerial Control · Individual
Donaty, Daniel
Operational/Managerial Control · Individual
King David Realty LLC
5% Or Greater Mortgage Interest · Organization
Schwartz, Mark
Operational/Managerial Control · Individual
Schwartz, Mark
Corporate Officer · Individual
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