Provider Name: MONTCARE AT POTOMAC
Address: 10714 POTOMAC TENNIS LANE, POTOMAC, MD 20854
Phone: (301) 299-2453
County: Montgomery (150)
Ownership Type: Non profit - Other
Certified Beds: 158
Average Residents Per Day: 146. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: POTOMAC OPERATOR LLC
First Approved Date: June 24, 1988
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: Y
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.70676, LPN Staff Hours Per Day: 0.7822, RN Staff Hours Per Day: 0.9427, Licensed Staff Hours Per Day: 1.7250
Total Nurse Staff Hours Per Day, per resident: 3.43176
Weekend Nurse Staff Hours: 3.10160, Weekend RN Staff Hours: 0.6356
PT Staff Hours Per Day, per resident: 0.1094
Nurse Staff Turnover: 26.2, Nurse Turnover Note:
RN Turnover: 27.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2094, Case Mix LPN Hours Per Day: 0.8142, Case Mix RN Hours Per Day: 0.4003
Adjusted Nurse Aide Hours Per Day, per resident: 1.57371, Adjusted LPN Hours Per Day: 0.7090, Adjusted RN Hours Per Day: 0.8873
Total Adjusted Nurse Hours Per Day, per resident: 3.15916
Adjusted Weekend Nurse Hours Per Day, per resident: 2.85522
Health Survey Dates and Scores: Cycle 1: 2019-10-10 (Score: 4), Cycle 2: 2018-08-03 (Score: 16), Cycle 3: 2017-08-16 (Score: 16)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 3
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 3250.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 10714 POTOMAC TENNIS LANE,POTOMAC,MD,20854 (39.0308, -77.201)
Process Date: 2024-03-01
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:
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-20
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2019-11-20
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: 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 2018-09-04
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2018-09-04
Type: Health, Deficiency: Observe each nurse aide's job performance and give regular training.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-04
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-04
Type: Health, Deficiency: 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.
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 2022-02-22
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2022-02-22
Type: Health, Deficiency: Report COVID19 data to residents and families.
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 2022-02-22
Type: Health, Deficiency: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-09-26
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:
Type: Fire Safety, Tag: 0911, Version: New
Description: Meet requirements for the installation and maintenance of electrical systems.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-01
Type: Fire Safety, Tag: 0921, Version: New
Description: Ensure that testing and maintenance of electrical equipment is performed.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-05