A list of the most recent deficiencies for Baywoods of Annapolis. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-02-05 | 2019-04-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-05 | 2019-04-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-05 | 2019-04-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-05 | 2019-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-05 | 2019-04-05 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-02-05 | 2019-04-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-05 | 2019-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-05 | 2019-04-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-05 | 2019-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-05 | 2019-04-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-05 | 2019-04-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-02-05 | 2019-04-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-05 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-05 | 2019-04-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-05 | 2019-04-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-05 | 2019-04-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-02-05 | 2019-04-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-02-05 | 2019-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-05 | 2019-04-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-02-05 | 2019-04-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-05 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-05 | 2019-04-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-05 | 2019-04-05 | N |
| Meet other general requirements. | Fire Safety | 2019-02-04 | 2019-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-04 | 2019-02-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-02-04 | 2019-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-04 | 2019-02-28 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-10-06 | 2017-11-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-06 | 2017-11-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-06 | 2017-11-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-06 | 2017-11-24 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-06 | 2017-11-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-06 | 2017-11-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-06 | 2017-11-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-06 | 2017-11-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-06 | 2017-11-24 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-08 | 2016-10-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-08 | 2016-10-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-09-08 | 2016-10-19 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-08 | 2016-10-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-08 | 2016-10-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-08 | 2016-10-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-08 | 2016-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-08 | 2016-10-17 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-08 | 2016-10-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-08 | 2016-10-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-08 | 2016-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-08 | 2016-10-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-09-08 | 2016-10-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-09-08 | 2016-10-17 | N |
