ST. ELIZABETH REHAB. & NSG. CE Nursing Home


ST. ELIZABETH REHAB. & NSG. CE (CCN: 215044) is a Non profit - Church related facility located in BALTIMORE, MD (21227). The facility has an overall rating of 5/5, health inspection rating of 5/5, and a staffing rating of 4/5. It offers 162 certified beds and maintains an average of 136. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.61235 total hours per resident per day. It has been certified since April 24, 1967 and the last listed health inspection was on October 31, 2019, The facility is located in Baltimore City county and provides senior and nursing home care.

ST. ELIZABETH REHAB. & NSG. CE Summary


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Provider Name: ST. ELIZABETH REHAB. & NSG. CE

Address: 3320 BENSON AVENUE, BALTIMORE, MD 21227

Phone: (667) 600-2600

County: Baltimore City (030)

Ownership Type: Non profit - Church related

Certified Beds: 162

Average Residents Per Day: 136. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: JENKINS MEMORIAL NURSING HOME INC

First Approved Date: April 24, 1967

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Both

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 3 ()

Long Stay QM Rating: 2 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.73662, LPN Staff Hours Per Day: 0.6968, RN Staff Hours Per Day: 1.1788, Licensed Staff Hours Per Day: 1.8757

Total Nurse Staff Hours Per Day, per resident: 4.61235

Weekend Nurse Staff Hours: 3.87551, Weekend RN Staff Hours: 0.6614

PT Staff Hours Per Day, per resident: 0.0304

Nurse Staff Turnover: 58.0, Nurse Turnover Note:

RN Turnover: 55.3, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1151, Case Mix LPN Hours Per Day: 0.7416, Case Mix RN Hours Per Day: 0.3768

Adjusted Nurse Aide Hours Per Day, per resident: 2.63578, Adjusted LPN Hours Per Day: 0.6934, Adjusted RN Hours Per Day: 1.1786

Total Adjusted Nurse Hours Per Day, per resident: 4.49581

Adjusted Weekend Nurse Hours Per Day, per resident: 3.77759

Health Survey Dates and Scores: Cycle 1: 2019-10-31 (Score: 8), Cycle 2: 2018-06-08 (Score: 8), Cycle 3: 2017-03-02 (Score: 80)

Total Weighted Health Score: 20.000

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.08, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 3320 BENSON AVENUE,BALTIMORE,MD,21227 (39.2682, -76.670)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-10-31

Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-14

Citation on 2019-10-31

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-12-14

Citation on 2018-06-08

Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-12

Citation on 2018-06-08

Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-12

Citation on 2021-07-01

Type: Health, Deficiency: Respond appropriately to all alleged violations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-07-09

Citation on 2017-03-02

Type: Health, Deficiency: Give residents a notice of rights, rules, services and charges.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: 1) Hire only people with 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.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Provide housekeeping and maintenance services.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Provide necessary care and services to maintain or improve the highest well being of each resident .

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Keep all essential equipment working safely.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31

Citation on 2017-03-02

Type: Health, Deficiency: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-05-31


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-10-28

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-11-11

Citation on 2019-10-28

Type: Fire Safety, Tag: 0223, Version: New

Description: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-11-11

Citation on 2019-10-28

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-11-11

Citation on 2019-10-28

Type: Fire Safety, Tag: 0911, Version: New

Description: Meet requirements for the installation and maintenance of electrical systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-11-11

Citation on 2019-10-28

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-11-11

Citation on 2017-01-24

Type: Fire Safety, Tag: 0345, Version: New

Description: Have approved installation, maintenance and testing program for fire alarm systems.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-02-28