Provider Name: MAPLEWOOD PARK PLACE
Address: 9707 OLD GEORGETOWN ROAD, BETHESDA, MD 20814
Phone: (301) 530-0500
County: Montgomery (150)
Ownership Type: For profit - Individual
Certified Beds: 31
Average Residents Per Day: 16.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MAPLEWOOD PARK RETIREMENT SERVICES INC
First Approved Date: May 7, 1996
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 4.33077, LPN Staff Hours Per Day: 0.8682, RN Staff Hours Per Day: 1.7729, Licensed Staff Hours Per Day: 2.6412
Total Nurse Staff Hours Per Day, per resident: 6.97201
Weekend Nurse Staff Hours: 6.20426, Weekend RN Staff Hours: 0.8457
PT Staff Hours Per Day, per resident: 0.6260
Nurse Staff Turnover: 21.7, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1618, Case Mix LPN Hours Per Day: 0.6864, Case Mix RN Hours Per Day: 0.3078
Adjusted Nurse Aide Hours Per Day, per resident: 4.08123, Adjusted LPN Hours Per Day: 0.9334, Adjusted RN Hours Per Day: 2.1701
Total Adjusted Nurse Hours Per Day, per resident: 6.96301
Adjusted Weekend Nurse Hours Per Day, per resident: 6.19625
Health Survey Dates and Scores: Cycle 1: 2021-05-06 (Score: 0), Cycle 2: 2019-08-02 (Score: 24), Cycle 3: 2018-07-05 (Score: 8)
Total Weighted Health Score: 9.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 657.80, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 9707 OLD GEORGETOWN ROAD,BETHESDA,MD,20814 (39.0137, -77.118)
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: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2019-09-20
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-20
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: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-08-06
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2018-08-06
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: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-09
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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 2019-08-12