Signature Healthcare At Mallard Bay

520 GLENBURN AVENUE
Cambridge, MD 21613
(410) 228-9191
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 160
Number of Residents: 116
Percent of Occupied Beds: 73%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 4 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 5 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071019 Health Mistreatment Deficiencies 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. Isolated Minimal harm or potential for actual harm 20071210
20071019 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20071210
20071019 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20071210
20071019 Health Resident Assessment Deficiencies Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated Minimal harm or potential for actual harm 20071210
20071019 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20071210
20080307 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080318
20080522 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080731
20081210 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm
20081210 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm
20081216 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090112
20081216 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20090112
20090421 Health Mistreatment Deficiencies 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. Isolated Minimal harm or potential for actual harm 20090605
20100730 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Isolated Actual harm 20100927
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 83
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 90
Percent of long-stay residents whose need for help with daily activities has increased: 6
Percent of long-stay residents who have moderate to severe pain: 0
Percent of high-risk long-stay residents who have pressure sores: 8
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 5
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 73
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 3
Percent of long-stay residents who spend most of their time in bed or in a chair: 13
Percent of long-stay residents whose ability to move about in and around their room got worse: 7
Percent of long-stay residents who had a urinary tract infection: 4
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: 55
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 52
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 6
Percent of short-stay residents who have pressure sores: 12
# of Residents: 116
# RN Hours per Resident: 0.81
# LPN Hours per Resident: 0.76
# CNA Hours per Resident: 2.44
Total Staff Hours per Resident: 1.57