Provider Name: INGLESIDE AT KING FARM
Address: 701 KING FARM BOULEVARD, ROCKVILLE, MD 20850
Phone: (240) 499-9015
County: Montgomery (150)
Ownership Type: Non profit - Corporation
Certified Beds: 45
Average Residents Per Day: 30.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: KING FARM PRESBYTERIAN RETIREMENT COMMUNITY, INC.
First Approved Date: June 30, 2009
Affiliated Entity: INGLESIDE ENGAGED LIVING (284)
Retirement Community: Y, 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: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.67127, LPN Staff Hours Per Day: 0.8502, RN Staff Hours Per Day: 1.4709, Licensed Staff Hours Per Day: 2.3212
Total Nurse Staff Hours Per Day, per resident: 4.99254
Weekend Nurse Staff Hours: 4.69760, Weekend RN Staff Hours: 1.2809
PT Staff Hours Per Day, per resident: 0.1407
Nurse Staff Turnover: 12.9, Nurse Turnover Note:
RN Turnover: 22.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2296, Case Mix LPN Hours Per Day: 0.6183, Case Mix RN Hours Per Day: 0.2706
Adjusted Nurse Aide Hours Per Day, per resident: 2.44075, Adjusted LPN Hours Per Day: 1.0147, Adjusted RN Hours Per Day: 2.0476
Total Adjusted Nurse Hours Per Day, per resident: 5.04592
Adjusted Weekend Nurse Hours Per Day, per resident: 4.74783
Health Survey Dates and Scores: Cycle 1: 2020-12-09 (Score: 0), Cycle 2: 2019-04-24 (Score: 8), Cycle 3: 2018-04-26 (Score: 12)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 1644.50, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 701 KING FARM BOULEVARD,ROCKVILLE,MD,20850 (39.1120, -77.177)
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: 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 2019-05-13
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: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-06-10
Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 2018-06-10
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 2018-06-10
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: 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: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-06-10
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-06-10