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Partners Preventing Avoidable Readmissions The Maryland Hospital Association’s Skilled Nursing Facility Partnership Development Guide

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Page 1: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Partners Preventing

Avoidable Readmissions

The Maryland Hospital Association’s

Skilled Nursing Facility Partnership Development Guide

Page 2: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Skilled Nursing Facility Partnership Development Guide Overview

This Skilled Nursing Facility (SNF) Partnership Development Guide aims to help Maryland’s hospitals

identify, develop, and strengthen formal and informal SNF partnerships that demonstrate high quality and cost-efficient care. Hospitals and SNF partners can improve care coordination by facilitating awareness and enhanced communication across the continuum. The guide can be found online at the Maryland Hospital Association’s website.

The guide includes (1) a discussion guide to facilitate communication in the interest of developing stronger, high-quality care, (2) INTERACT Capabilities List that SNFs could be asked to complete, and (3) key quality, cost, and staffing measures, including readmissions rates. This guide is intended to provide objective information from a variety of sources in a single place and reflects SNFs’ performance at a point in time. State and national data are presented as reference points. Data comes from Avalere Health’s analysis of 2013 Medicare claims data, MHCC’s Maryland Guide to Long Term Care, and CMS’

Nursing Home Compare website. MHA will update this guide annually. At the time of publication, the data included in the guide is the most current data available.

The CMS 5 Star Overall Rating is not included in the guide as the rating may change monthly, however, up-to-date information can be found here. Additionally, Nursing Home Family Satisfaction Survey Results can be found for each SNF within MHCC’s Maryland Guide to Long Term Care.

Important information to consider as you examine these data:

1. Acute All-Cause Readmission Rates

While reducing Medicare readmissions is a key test under the waiver, hospitals do not have data to track SNF readmission rates. Using the most recently available Medicare data, this guide shows all-cause readmission rates within 7, 15, and 30 days post hospital discharge compared to Maryland and national averages (e.g., patients that are readmitted within 7 days are also included in the calculations for readmissions within 15 and 30 days).

2. Staffing

In addition to showing staffing rates for RNs and CNAs, the guide includes information on staff turnover. Research shows a negative association between staff turnover and quality of care; thus, a high percentage of staff employed two years or more may be associated with high quality of care.

3. Quality Measures and SNF Capabilities

Presenting information from government sources in one place will inform executive relationship development as well as emergency department and case management personnel to facilitate patient-centered selection of SNFs.

4. Average Length of Stay (ALOS) at the SNF for Commonly Billed DRGs for Prior Hospitalization

This measure is intended to help hospitals see the top DRGs treated at SNFs, and may show SNF areas of expertise. Examining ALOS relative to readmission rates can also be informative.

5. Payment Per Day, Per Stay

A key metric under the waiver is total Medicare spending per beneficiary. Examining payment per day in combination with ALOS is one way to consider SNF efficiency. Note that SNFs are indexed alphabetically and by county in the table of contents. Facility names are hyperlinked for easy access.

If you have any questions, please contact Sheena Siddiqui at [email protected]

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Page 3: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Table of Contents

Discussion Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

INTERACT Tool. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Allegany CountyAllegany Health Nursing & Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Devlin Manor Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Egle Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Frostburg Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18Golden Living Ctr - Cumberland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20Moran Manor Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22The Lions Ctr For Rehab & Ext Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24West MD Health Sys Frostburg Nsg & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Anne Arundel CountyBay Ridge Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Crofton Convalescent Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Fairfield Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Future Care Chesapeake. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34Ginger Cove. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36Glen Burnie Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38Hammonds Lane Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40Heritage Harbour Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42Marley Neck Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44North Arundel Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46Severna Park Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48South River Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50Spa Creek Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52The Arbor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54Waugh Chapel Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Baltimore CityAlice Manor Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58Blue Point Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60Bridgepark Healthcare Ctr - Frm Liberty Heights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62Brinton Woods Hlth & Rehab Ctr Arlington West. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64Brinton Woods Post Acute Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66Caton Manor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68Fayette Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70Future Care Canton Harbor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72Future Care Charles Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74Future Care Cold Spring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76Future Care Homewood. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

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Future Care Irvington. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80Future Care Sandtown-Winchester. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82Good Samaritan Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84Homewood Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86Keswick Multi-Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88Levindale Hebrew Geriatric Ctr & Hsp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90Lochearn Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92Long Green Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94ManorCare - Roland Park. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96Maryland Baptist Aged Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98Northwest Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100Overlea Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102Roland Park Place. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104St. Elizabeth Rehab & Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106The Green House at Stadium Place. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108Transitional Care at Good Samaritan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110Transitional Care Services at Mercy Medical Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112Westgate Hills Rehab & Healthcare Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114

Baltimore CountyAugsburg Lutheran Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116Broadmead. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118Catonsville Commons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120Charlestown Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122Chestnut Green Hlth Ctr Blakehurst. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124Courtland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126Cromwell Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128Envoy of Pikesville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130Forest Haven Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132Franklin Woods Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134Frederick Villa Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136Future Care Cherrywood. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138Future Care Northpoint. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140Future Care Old Court. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142Glen Meadows Retirement Community. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144Greater Baltimore Medical Ctr Sub Acute Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146Heritage Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148Holly Hill Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150Little Sisters of the Poor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152Loch Raven Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154Lorien Mays Chapel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156ManorCare - Dulaney. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158ManorCare - Rossville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160ManorCare - Ruxton. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162ManorCare - Woodbridge Valley. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164ManorCare - Towson. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166

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Maria Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168Mid-Atlantic of Chapel Hill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170Milford Manor Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172Multi-Medical Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174North Oaks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176Northwest Hosp Ctr Subacute Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178Oak Crest Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Oakwood Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182Patapsco Valley Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184Perring Parkway Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186Pickersgill Retirement Community. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188Powerback Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190Ridgeway Manor Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192Riverview Rehab & Health Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194Stella Maris. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196Summit Park Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198The Villa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200

Calvert CountyAsbury Solomons Island. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202Calvert County Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204Calvert Memorial Hospital Transitional Care Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206Solomons Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208

Caroline CountyCaroline Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210Envoy of Denton. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212

Carroll CountyBrinton Woods Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214Carroll Lutheran Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216Copper Ridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218Fairhaven. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220Golden Living Ctr - Westminster. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222Longview Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224Lorien Health Systems Mt Airy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226Lorien Taneytown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228Pleasant View Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230Transitions Healthcare at Sykesville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .232

Cecil CountyCalvert Manor Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234Elkton Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .236Laurelwood Care Ctr at Elkton. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238

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Charles CountyCharles County Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240La Plata Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242Waldorf Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244

Dorchester CountyChesapeake Woods Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246Signature Healthcare at Mallard Bay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248

Frederick CountyBuckingham's Choice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250Citizens Care & Rehab Ctr of Frederick. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252College View Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254Glade Valley Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256Golden Living Ctr - Frederick. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .258Homewood at Crumland Farms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260Northampton Manor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .262St Joseph's Ministries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264Vindobona Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266

Garrett CountyDennett Road Manor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .268Garrett County Subacute Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270Goodwill Mennonite Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .272Oakland Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274

Harford CountyBel Air Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276Citizens Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .278Forest Hill Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280Lorien Bulle Rock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282Lorien Health Systems - Riverside. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .284Lorien Nursing & Rehab Ctr Belair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286

Howard CountyEllicott City Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .288Encore at Turf Valley. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290Lorien Health Systems - Columbia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .292Lorien Nursing & Rehab Ctr - Elkridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .294Vantage House. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296

Kent CountyChestertown Rehab & Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .298Heron Point of Chestertown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .300

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UMD Shore Nursing & Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .302

Montgomery CountyAlthea Woodland Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .304Arcola Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .306Bedford Court Healthcare Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308Bel Pre Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .310Bethesda Health & Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312Brighton Garden Tuckerman Lane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .314Brooke Grove Rehab & Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .316Carriage Hill Bethesda. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .318Collingswood Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320Fairland Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .322Fox Chase Rehab & Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .324Friends Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326Hebrew Home of Greater Washington. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .328Sanctuary at Holy Cross. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .330Ingleside at King Farm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .332Kensington Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334Layhill Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .336ManorCare - Chevy Chase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338ManorCare - Wheaton. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .340ManorCare - Bethesda. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .342ManorCare - Potomac. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .344ManorCare - Silver Spring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346Maplewood Park Place. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348Montgomery Village Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .350National Lutheran Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .352NMS Healthcare of Silver Spring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .354Oakview Rehab & Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .356Potomac Valley Nursing & Wellness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .358Rockville Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .360Shady Grove Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .362Sligo Creek Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .364Springbrook Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366Wilson Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .368Woodside Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .370

Prince George's CountyBradford Oaks Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372Cherry Lane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374Clinton Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .376Collington Episcopal Life Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378Crescent Cities Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .380Forestville Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382Fort Washington Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .384

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Future Care Pineview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .386Hillhaven Nursing Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .388Larkin Chase Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390Magnolia Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .392ManorCare - Hyattsville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .394ManorCare - Largo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .396ManorCare - Adelphi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .398Medstar Southern Maryland Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .400Patuxent River Health & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402Riderwood Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .404St. Thomas More Medical Complex. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .406Villa Rosa Nursing & Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .408

Queen Anne's CountyCorsica Hills Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410

St. Mary's CountyCharlotte Hall Veterans Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .412Chesapeake Shores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414St. Mary's Nursing Ctr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .416

Somerset CountyAlice Byrd Tawes Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .418Aurora Senior Living of Manokin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .420

Talbot CountyThe Pines Genesis Eldercare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .422William Hill Manor Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .424

Washington CountyCoffman Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .426Fahrney-Keedy Memorial Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428Golden Living Ctr - Hagerstown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430Homewood at Williamsport MD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432Julia Manor Health Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .434NMS Healthcare of Hagerstown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436Ravenwood Nursing Care Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438Reeders Memorial Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .440Western MD Hospital Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .442Williamsport Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .444

Wicomico CountyAnchorage Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .446Salisbury Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .448

8

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Wicomico Nursing Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .450

Worcester CountyBerlin Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .452Hartley Hall Nursing & Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .454Snow Hill Nursing & Rehab Ctr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .456

9

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Section 2: Discussion Guide

1. Are residents seen by a physician or physician extender within 48 hours of admission? a. If yes, please describe the SNF-ist or other program you have in place. b. If not, please indicate the average time to first physician provider assessment.

2. Describe the standard physician/extender rounding schedule, if one exists. 3. Describe RN/CNA coverage for evenings, nights, and weekends.

4. How many days per week are rehabilitation services available (5 days/week? 7 days/week?)

a. Please list out how many days/week each type rehabilitation services are provided such as joint replacement, CVA.

5. Describe your processes for:

Medication reconciliation Glucose management Pain management Anticoagulation management

6. Describe your error monitoring process, and the recent actions taken as a result.

7. Describe your standard process for identifying changes in clinical status among

residents.

8. Describe your standard process for responding to changes in clinical status such as fever, cough, shortness of breath, weight gain, altered mental status, UTI, dislodged tubes/lines.

9. Do you ensure goals of care are addressed with all residents?

10. What process do you have in place to ensure all residents have a MOLST form?

11. Describe your facility’s admission schedule. Specifically, can your facility admit patients a. 24 hours a day? Can your facility accept “direct admits” from the community or ED?

12. Does your facility utilize CRISP to promote health information exchange with referring or

receiving providers? If yes, please describe your current use of CRISP. If no, please indicate whether you are interested in learning about CRISP.

13. What is your facility's standard communication for sharing medical information during hand-off?

14. What processes do you have in place to reduce frequency of potentially avoidable transfers to

hospitals?

15. What fall prevention programs do you have in place?

16. Does your facility utilize Maryland Patient Safety Center (MPSC) program?

17. Describe any hospice/palliative care services that your facility provides and provide a list of any hospice agencies that work with or are contracted with your facility.

18. What are some opportunities for our hospital to improve transition of care?

10

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V er s ion 4 .0 Too l

©2014 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.

Nursing Home Capabilities List This list is for hospital emergency rooms, hospitalists, and case managers; and for physicians, NPs, and PAs who take off-hours call for the facility to assist with decisions about hospital admission or return to the facility.

Circle ‘Y’ for yes or ‘N’ for no to indicate the availability of each item in your facility.

Capabilities Yes No

Primary Care Clinician Services

At least one physician, NP, or PA in the facility three or more days per week Y N

At least one physician, NP, or PA in the facility five or more days per week Y N

Diagnostic Testing

Stat lab tests with turnaround less than 8 hours Y N

Stat X-rays with turnaround less than 8 hours Y N

EKG Y N

Bladder Ultrasound Y N

Venous Doppler Y N

Cardiac Echo Y N

Swallow Studies Y N

Consultations

Psychiatry Y N

Cardiology Y N

Pulmonary Y N

Wound Care Y N

Other Physician Specialty Consultationsspecify: Y N

Social and Psychology Services

Licensed Social Worker Y N

Psychological Evaluation and Counseling by a Licensed Clinical Psychologist Y N

Therapies on Site

Occupational Y N

Physical Y N

Respiratory Y N

Speech Y N

Capabilities Yes No

Nursing Services

Frequent vital signs (e.g. every 2 hrs) Y N

Strict intake and output ( I&O) monitoring Y N

Daily weights Y N

Accuchecks for glucose at least every shift Y N

INR Y N

O2 saturation Y N

Nebulizer treatments Y N

Incentive spirometry Y N

Interventions

IV Fluids (initiation and maintenance) Y N

IV Antibiotics Y N

IV Meds – Other (e.g. furosemide) Y N

PICC Insertion Y N

PICC Management Y N

Total Parenteral Nutrition (TPN) Y N

Isolation ( for MRSA, VRE, etc…) Y N

Surgical Drain Management Y N

Tracheostomy Management Y N

Analgesic Pumps Y N

Dialysis Y N

Advanced CPR (ACLS capability) Y N

Automatic Defibrillator Y N

Pharmacy Services

Emergency kit with common medications for acute conditions available Y N

New medications filled within 8 hours Y N

Other Specialized Services (specify)

Facility _________________________________________________________________________________________

Address ________________________________________________________________________________________

Tel ( ________ ) ___________________________________ Key Contact __________________________________

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County Name:

Facility: Allegany Health Nursing & Rehab

730 Furnace Street Number of Beds: 153Cumberland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21502 Allegany Health Nursing & Rehab ALOS: 28.2(301) 777-5941 Maryland Average ALOS: 24.3

Provider Number: 215230 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Allegany Health Nursing &

Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Allegany Health Nursing & Rehab

Compared to

Maryland

Average

0.7 21% Below 12% Below

2.1 15% Below 16% Below

58% 3% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

Compared to

National Average

Percent of Maryland

SNFs Offering

Services

Allegany County

Address:

Phone Number:

0.0%

7.3%

12.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Allegany HealthNursing & Rehab

Maryland

Nation

12

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection11.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

Allegany Health Nursing & Rehab National AverageMaryland Average

32.9

52.6

28.3

28.9

35.3

24.6

32.7

22.8

23.7

20.5

20.1

33.3

30.3

18.7

23.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Simple Pneumonia & Pleurisy w/MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Allegany Health Nursing &Rehab

Maryland

Nation

$447 $487

$300

$400

$500

$600

Allegany Health Nursing &Rehab

Maryland

Allegany Health Nursing & Rehab Avg Payment Per Day

$12,591 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Allegany Health Nursing &Rehab

Maryland

Allegany Health Nursing & Rehab Avg Payment Per Stay

13

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County Name:

Facility: Devlin Manor Nursing Home

10301 North East Christie Road Number of Beds: 124Cumberland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21501 Devlin Manor Nursing Home ALOS: 28.3(301) 724-1400 Maryland Average ALOS: 24.3

Provider Number: 215244 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Devlin Manor Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Devlin Manor Nursing Home

Compared to

Maryland

Average

1.4 45% Above 63% Above

1.8 26% Below 27% Below

83% 38% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

10.7%

22.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Devlin Manor NursingHome

Maryland

Nation

14

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageDevlin Manor Nursing Home Maryland Average

25.6

33.8

30.2

29.7

28.9

35.7

25.8

25.4

23.7

23.7

8.5

26.3

53.5

32.3

27.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Psychoses

4) Kidney & Urinary Tract Infectionsw/ MCC

3) Renal Failure w/ CC

2) Simple Pneumonia & Pleurisy w/CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Devlin Manor Nursing Home

Maryland

Nation

$410

$487

$300

$400

$500

$600

Devlin Manor NursingHome

Maryland

Devlin Manor Nursing Home Avg Payment Per Day

$11,622 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Devlin Manor NursingHome

Maryland

Devlin Manor Nursing Home Avg Payment Per Stay

15

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County Name:

Facility: Egle Nursing Home

57 Jackson Street Number of Beds: 66Lonaconing, MD Source: CMS Nursing Home Compare, data as of 4/2015

21539 Egle Nursing Home ALOS: 32.1(301) 463-5451 Maryland Average ALOS: 24.3

Provider Number: 215307 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Egle Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Egle Nursing Home

Compared to

Maryland

Average

1.2 25% Above 40% Above

3.1 27% Above 25% Above

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

17.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Egle Nursing Home

Maryland

Nation

16

Page 17: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.2% 18.2% 15.6%

Percent of residents who were physically

restrained2.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageEgle Nursing Home Maryland Average

35.5

39.4

32.9

28.3

35.3

23.5

29.4

24.6

22.8

20.5

20.0

69.0

19.7

24.0

21.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0

5) Nonspecific CerebrovascularDisorders w/ CC

4) Degenerative Nervous SystemDisorders w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Simple Pneumonia & Pleurisy w/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Egle Nursing Home

Maryland

Nation

$395

$487

$300

$400

$500

$600

Egle Nursing Home Maryland

Egle Nursing Home Avg Payment Per Day

$12,674 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Egle Nursing Home Maryland

Egle Nursing Home Avg Payment Per Stay

17

Page 18: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Frostburg Village

One Kaylor Circle Rt36 & Rt40 Number of Beds: 122Frostburg, MD Source: CMS Nursing Home Compare, data as of 4/2015

21532 Frostburg Village ALOS: 34.3(301) 689-7500 Maryland Average ALOS: 24.3

Provider Number: 215115 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Frostburg Village

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Frostburg Village

Compared to

Maryland

Average

0.7 27% Below 19% Below

2.0 19% Below 20% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.8%

9.6%

15.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Frostburg Village

Maryland

Nation

18

Page 19: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain22.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.7% 18.2% 15.6%

Percent of residents who were physically

restrained2.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFrostburg Village Maryland Average

29.0

38.4

41.9

52.6

33.0

22.9

27.8

30.2

32.7

32.3

54.4

21.0

25.7

42.0

47.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Respiratory Infections &Inflammations w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Rehabilitation w/ CC/MCC

Frostburg Village

Maryland

Nation

$455 $487

$300

$400

$500

$600

Frostburg Village Maryland

Frostburg Village Avg Payment Per Day

$15,610

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Frostburg Village Maryland

Frostburg Village Avg Payment Per Stay

19

Page 20: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Golden Living Ctr - Cumberland

512 Winifred Road Number of Beds: 131Cumberland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21502 Golden Living Ctr - Cumberland ALOS: 24.8(301) 724-6066 Maryland Average ALOS: 24.3

Provider Number: 215055 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Golden Living Ctr -

Cumberland

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Golden Living Ctr - Cumberland

Compared to

Maryland

Average

1.1 13% Above 27% Above

2.0 18% Below 19% Below

49% 18% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.8%

9.4%

17.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Golden Living Ctr -Cumberland

Maryland

Nation

20

Page 21: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury9.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain17.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.0% 18.2% 15.6%

Percent of residents who were physically

restrained2.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine92.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGolden Living Ctr - Cumberland Maryland Average

33.0

32.9

33.8

50.8

35.3

32.3

24.6

25.8

30.8

20.5

46.3

21.1

27.0

46.1

34.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Rehabilitation w/ CC/MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Kidney & Urinary Tract Infectionsw/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Golden Living Ctr -Cumberland

Maryland

Nation

$439 $487

$300

$400

$500

$600

Golden Living Ctr -Cumberland

Maryland

Golden Living Ctr - Cumberland Avg Payment Per Day

$10,892 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Golden Living Ctr -Cumberland

Maryland

Golden Living Ctr - Cumberland Avg Payment Per Stay

21

Page 22: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Moran Manor Nursing Home

25701 Shady Lane S. W. Number of Beds: 130Westernport, MD Source: CMS Nursing Home Compare, data as of 4/2015

21562 Moran Manor Nursing Home ALOS: 34.6(301) 359-3000 Maryland Average ALOS: 24.3

Provider Number: 215240 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Moran Manor Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Moran Manor Nursing Home

Compared to

Maryland

Average

0.8 14% Below 4% Below

2.0 16% Below 17% Below

56% 7% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Moran Manor NursingHome

Maryland

Nation

22

Page 23: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.0% 18.2% 15.6%

Percent of residents who were physically

restrained8.1% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMoran Manor Nursing Home Maryland Average

25.0

27.4

18.5

20.8

21.9

21.8

23.3

19.8

21.7

21.2

23.0

5.5

31.0

43.7

13.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Disorders of Pancreas ExceptMalignancy w/ CC

4) Cardiac Arrhythmia &Conduction Disorders w/ CC

3) Chronic Obstructive PulmonaryDisease w/o CC/MCC

2) Chronic Obstructive PulmonaryDisease w/ CC

1) Chronic Obstructive PulmonaryDisease w/ MCC

Moran Manor Nursing Home

Maryland

Nation

$407

$487

$300

$400

$500

$600

Moran Manor NursingHome

Maryland

Moran Manor Nursing Home Avg Payment Per Day

$14,090

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Moran Manor NursingHome

Maryland

Moran Manor Nursing Home Avg Payment Per Stay

23

Page 24: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: The Lions Ctr For Rehab & Ext Care

901 Seton Drive Extension Number of Beds: 101Cumberland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21502 The Lions Ctr For Rehab & Ext Care ALOS: 29.6(301) 722-6272 Maryland Average ALOS: 24.3

Provider Number: 215073 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

The Lions Ctr For Rehab & Ext

Care

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

The Lions Ctr For Rehab & Ext

Care

Compared to

Maryland

Average

1.0 3% Above 15% Above

2.8 15% Above 13% Above

67% 12% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

13.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

The Lions Ctr ForRehab & Ext Care

Maryland

Nation

24

Page 25: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased29.0% 18.2% 15.6%

Percent of residents who were physically

restrained1.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageThe Lions Ctr For Rehab & Ext Care Maryland Average

28.9

32.9

52.6

28.3

33.8

23.7

24.6

32.7

22.8

25.8

15.8

35.0

40.2

26.7

41.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Simple Pneumonia & Pleurisy w/MCC

1) Kidney & Urinary Tract Infectionsw/ MCC

The Lions Ctr For Rehab &Ext Care

Maryland

Nation

$379

$487

$300

$400

$500

$600

The Lions Ctr For Rehab& Ext Care

Maryland

The Lions Ctr For Rehab & Ext Care Avg Payment Per Day

$11,221 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

The Lions Ctr For Rehab& Ext Care

Maryland

The Lions Ctr For Rehab & Ext Care Avg Payment Per Stay

25

Page 26: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: West MD Health Sys Frostburg Nsg & Rehab Ctr

48 Tarn Terrace Number of Beds: 2Frostburg, MD Source: CMS Nursing Home Compare, data as of 4/2015 8821532 West MD Health Sys Frostburg Nsg & Rehab Ctr ALOS:

(301) 689-1391 Maryland Average ALOS: 27.4Provider Number: 215277 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

West MD Health Sys Frostburg

Nsg & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

West MD Health Sys Frostburg

Nsg & Rehab Ctr

Compared to

Maryland

Average

0.8 15% Below 5% Below

1.9 21% Below 22% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Allegany County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.3%

14.4%

22.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

West MD Health SysFrostburg Nsg &Rehab Ctr

Maryland

Nation

26

Page 27: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers13.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.3% 18.2% 15.6%

Percent of residents who were physically

restrained2.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWest MD Health Sys Frostburg Nsg & Rehab Ctr Maryland Average

30.2

29.0

32.9

35.3

29.7

24.1

22.9

24.6

20.5

23.7

13.3

35.5

23.4

27.4

15.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Syncope & Collapse

4) Respiratory Infections &Inflammations w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Simple Pneumonia & Pleurisy w/CC

West MD Health SysFrostburg Nsg & Rehab Ctr

Maryland

Nation

$352

$487

$300

$400

$500

$600

West MD Health SysFrostburg Nsg & Rehab Ctr

Maryland

West MD Health Sys Frostburg Nsg & Rehab Ctr Avg Payment Per Day

$9,641

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

West MD Health SysFrostburg Nsg & Rehab Ctr

Maryland

West MD Health Sys Frostburg Nsg & Rehab Ctr Avg Payment Per Stay

27

Page 28: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Bay Ridge Health Care Ctr

900 Van Buren Street Number of Beds: 93Annapolis, MD Source: CMS Nursing Home Compare, data as of 4/2015

21403 Bay Ridge Health Care Ctr ALOS: 42.2(410) 267-8653 Maryland Average ALOS: 24.3

Provider Number: 215005 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bay Ridge Health Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bay Ridge Health Care Ctr

Compared to

Maryland

Average

1.2 30% Above 46% Above

2.2 10% Below 11% Below

84% 40% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.2%

8.7%

16.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bay Ridge HealthCare Ctr

Maryland

Nation

28

Page 29: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain22.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.3% 18.2% 15.6%

Percent of residents who were physically

restrained6.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine91.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBay Ridge Health Care Ctr Maryland Average

38.6

34.4

39.4

28.9

25.6

26.8

29.5

29.4

23.7

35.7

66.6

24.6

36.9

46.9

50.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Organic Disturbances & MentalRetardation

4) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

3) Degenerative Nervous SystemDisorders w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Psychoses

Bay Ridge Health Care Ctr

Maryland

Nation

$517 $487

$300

$400

$500

$600

Bay Ridge Health Care Ctr Maryland

Bay Ridge Health Care Ctr Avg Payment Per Day

$21,855

$11,840

$10,000

$14,000

$18,000

$22,000

Bay Ridge Health Care Ctr Maryland

Bay Ridge Health Care Ctr Avg Payment Per Stay

29

Page 30: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Crofton Convalescent Ctr

2131 Davidsonville Road Number of Beds: 170Crofton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21114 Crofton Convalescent Ctr ALOS: 22.2(410) 721-1000 Maryland Average ALOS: 24.3

Provider Number: 215120 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Crofton Convalescent Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Crofton Convalescent Ctr

Compared to

Maryland

Average

0.9 The Same 12% Above

2.2 9% Below 11% Below

56% 7% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

11.5%

20.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Crofton ConvalescentCtr

Maryland

Nation

30

Page 31: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.5% 18.2% 15.6%

Percent of residents who were physically

restrained1.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCrofton Convalescent Ctr Maryland Average

23.8

32.9

41.9

52.6

35.3

22.3

24.6

30.2

32.7

20.5

23.9

29.8

31.4

26.5

17.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Crofton Convalescent Ctr

Maryland

Nation

$508 $487

$300

$400

$500

$600

Crofton Convalescent Ctr Maryland

Crofton Convalescent Ctr Avg Payment Per Day

$11,278 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Crofton Convalescent Ctr Maryland

Crofton Convalescent Ctr Avg Payment Per Stay

31

Page 32: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Fairfield Nursing & Rehab Ctr

1454 Fairfield Loop Road Number of Beds: 96Crownsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21032 Fairfield Nursing & Rehab Ctr ALOS: 23.0(410) 923-6820 Maryland Average ALOS: 24.3

Provider Number: 215236 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fairfield Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fairfield Nursing & Rehab Ctr

Compared to

Maryland

Average

1.1 17% Above 31% Above

1.8 26% Below 27% Below

40% 33% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.7%

8.9%

17.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fairfield Nursing &Rehab Ctr

Maryland

Nation

32

Page 33: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.7% 18.2% 15.6%

Percent of residents who were physically

restrained1.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFairfield Nursing & Rehab Ctr Maryland Average

52.6

28.9

33.1

32.9

35.3

32.7

23.7

18.7

24.6

20.5

23.1

30.2

18.1

23.7

17.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Spinal Fusion Except Cervicalw/o MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Fairfield Nursing & RehabCtr

Maryland

Nation

$531 $487

$300

$400

$500

$600

Fairfield Nursing & RehabCtr

Maryland

Fairfield Nursing & Rehab Ctr Avg Payment Per Day

$12,204 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Fairfield Nursing & RehabCtr

Maryland

Fairfield Nursing & Rehab Ctr Avg Payment Per Stay

33

Page 34: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Future Care Chesapeake

305 College Parkway Number of Beds: 154Arnold, MD Source: CMS Nursing Home Compare, data as of 4/2015

21012 Future Care Chesapeake ALOS: 26.0(410) 647-0015 Maryland Average ALOS: 24.3

Provider Number: 215186 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Chesapeake

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Chesapeake

Compared to

Maryland

Average

1.0 11% Above 24% Above

2.3 7% Below 8% Below

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.9%

13.1%

25.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future CareChesapeake

Maryland

Nation

34

Page 35: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

90.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Chesapeake Maryland Average

32.9

24.6

41.9

35.3

28.9

24.6

23.0

30.2

20.5

23.7

25.5

18.9

30.8

31.4

22.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Heart Failure & Shock w/ MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Chesapeake

Maryland

Nation

$515 $487

$300

$400

$500

$600

Future Care Chesapeake Maryland

Future Care Chesapeake Avg Payment Per Day

$13,378

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Chesapeake Maryland

Future Care Chesapeake Avg Payment Per Stay

35

Page 36: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Ginger Cove

4000 River Crescent Drive Number of Beds: 55Annapolis, MD Source: CMS Nursing Home Compare, data as of 4/2015

21401 Ginger Cove ALOS: 36.0(410) 266-7300 Maryland Average ALOS: 24.3

Provider Number: 215174 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Ginger Cove

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Ginger Cove

Compared to

Maryland

Average

1.0 10% Above 23% Above

3.9 60% Above 58% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Ginger Cove

Maryland

Nation

36

Page 37: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection13.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers13.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.5% 18.2% 15.6%

Percent of residents who were physically

restrained6.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGinger Cove Maryland Average

31.3

30.2

29.7

50.8

35.3

24.3

25.4

23.7

30.8

20.5

56.0

39.0

28.7

38.5

36.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Renal Failure w/ CC

3) Simple Pneumonia & Pleurisy w/CC

2) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Ginger Cove Maryland

Nation

$412

$487

$300

$400

$500

$600

Ginger Cove Maryland

Ginger Cove Avg Payment Per Day

$14,854

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Ginger Cove Maryland

Ginger Cove Avg Payment Per Stay

37

Page 38: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Glen Burnie Health & Rehab Ctr

7355 Furnace Branch Road East Number of Beds: 190Glen Burnie, MD Source: CMS Nursing Home Compare, data as of 4/2015

21060 Glen Burnie Health & Rehab Ctr ALOS: 23.6(410) 766-3460 Maryland Average ALOS: 24.3

Provider Number: 215266 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Glen Burnie Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Glen Burnie Health & Rehab Ctr

Compared to

Maryland

Average

0.7 21% Below 12% Below

1.9 23% Below 24% Below

51% 15% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.5%

12.7%

22.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Glen Burnie Health &Rehab Ctr

Maryland

Nation

38

Page 39: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased28.0% 18.2% 15.6%

Percent of residents who were physically

restrained3.1% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

84.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGlen Burnie Health & Rehab Ctr Maryland Average

23.8

41.9

33.0

32.9

35.3

22.3

30.2

32.3

24.6

20.5

17.6

27.8

24.8

31.0

24.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Heart Failure & Shock w/ CC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Rehabilitation w/ CC/MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Glen Burnie Health &Rehab Ctr

Maryland

Nation

$482 $487

$300

$400

$500

$600

Glen Burnie Health &Rehab Ctr

Maryland

Glen Burnie Health & Rehab Ctr Avg Payment Per Day

$11,382 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Glen Burnie Health &Rehab Ctr

Maryland

Glen Burnie Health & Rehab Ctr Avg Payment Per Stay

39

Page 40: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Hammonds Lane Ctr

613 Hammonds Lane Number of Beds: 129Brooklyn Park, MD Source: CMS Nursing Home Compare, data as of 4/2015

21225 Hammonds Lane Ctr ALOS: 28.8(410) 636-3400 Maryland Average ALOS: 24.3

Provider Number: 215088 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Hammonds Lane Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Hammonds Lane Ctr

Compared to

Maryland

Average

1.0 5% Above 18% Above

2.1 12% Below 13% Below

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.9%

12.8%

23.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Hammonds Lane Ctr

Maryland

Nation

40

Page 41: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHammonds Lane Ctr Maryland Average

35.3

22.4

23.8

52.6

28.9

20.5

22.3

22.3

32.7

23.7

16.5

22.8

15.7

32.3

28.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Pulmonary Edema & RespiratoryFailure

3) Heart Failure & Shock w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Hammonds Lane Ctr

Maryland

Nation

$480 $487

$300

$400

$500

$600

Hammonds Lane Ctr Maryland

Hammonds Lane Ctr Avg Payment Per Day

$13,853

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Hammonds Lane Ctr Maryland

Hammonds Lane Ctr Avg Payment Per Stay

41

Page 42: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Heritage Harbour Health & Rehab Ctr

2700 South Haven Road Number of Beds: 154Annapolis, MD Source: CMS Nursing Home Compare, data as of 4/2015

21401 Heritage Harbour Health & Rehab Ctr ALOS: 22.6(410) 897-1300 Maryland Average ALOS: 24.3

Provider Number: 215325 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Heritage Harbour Health &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Heritage Harbour Health & Rehab

Ctr

Compared to

Maryland

Average

0.8 17% Below 7% Below

1.7 30% Below 31% Below

76% 27% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.5%

13.0%

23.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Heritage HarbourHealth & Rehab Ctr

Maryland

Nation

42

Page 43: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.7% 18.2% 15.6%

Percent of residents who were physically

restrained5.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHeritage Harbour Health & Rehab Ctr Maryland Average

29.8

28.9

52.6

32.9

35.3

26.7

23.7

32.7

24.6

20.5

16.4

24.1

28.4

19.6

19.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cellulitis w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Heritage Harbour Health& Rehab Ctr

Maryland

Nation

$497 $487

$300

$400

$500

$600

Heritage Harbour Health &Rehab Ctr

Maryland

Heritage Harbour Health & Rehab Ctr Avg Payment Per Day

$11,239 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Heritage Harbour Health &Rehab Ctr

Maryland

Heritage Harbour Health & Rehab Ctr Avg Payment Per Stay

43

Page 44: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Marley Neck Health & Rehab Ctr

7575 E. Howard Road Number of Beds: 95Glen Burnie, MD Source: CMS Nursing Home Compare, data as of 4/2015

21060 Marley Neck Health & Rehab Ctr ALOS: 29.9(410) 768-8200 Maryland Average ALOS: 24.3

Provider Number: 215138 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Marley Neck Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Marley Neck Health & Rehab Ctr

Compared to

Maryland

Average

0.6 32% Below 23% Below

1.9 22% Below 23% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

13.5%

23.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Marley Neck Health &Rehab Ctr

Maryland

Nation

44

Page 45: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMarley Neck Health & Rehab Ctr Maryland Average

29.7

30.2

52.6

32.9

28.9

23.7

25.4

32.7

24.6

23.7

45.0

28.3

38.3

45.3

16.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Simple Pneumonia & Pleurisy w/CC

4) Renal Failure w/ CC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Marley Neck Health &Rehab Ctr

Maryland

Nation

$518 $487

$300

$400

$500

$600

Marley Neck Health &Rehab Ctr

Maryland

Marley Neck Health & Rehab Ctr Avg Payment Per Day

$15,483

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Marley Neck Health &Rehab Ctr

Maryland

Marley Neck Health & Rehab Ctr Avg Payment Per Stay

45

Page 46: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: North Arundel Health & Rehab Ctr

313 Hospital Drive Number of Beds: 129Glen Burnie, MD Source: CMS Nursing Home Compare, data as of 4/2015

21061 North Arundel Health & Rehab Ctr ALOS: 28.1(410) 761-1222 Maryland Average ALOS: 24.3

Provider Number: 215316 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

North Arundel Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

North Arundel Health & Rehab Ctr

Compared to

Maryland

Average

0.7 21% Below 11% Below

1.6 32% Below 33% Below

51% 15% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.4%

13.0%

26.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

North Arundel Health& Rehab Ctr

Maryland

Nation

46

Page 47: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNorth Arundel Health & Rehab Ctr Maryland Average

52.6

34.6

30.2

29.7

35.3

32.7

28.8

25.4

23.7

20.5

46.8

25.9

35.7

34.9

28.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

3) Renal Failure w/ CC

2) Simple Pneumonia & Pleurisy w/CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

North Arundel Health &Rehab Ctr

Maryland

Nation

$487 $487

$300

$400

$500

$600

North Arundel Health &Rehab Ctr

Maryland

North Arundel Health & Rehab Ctr Avg Payment Per Day

$13,687

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

North Arundel Health &Rehab Ctr

Maryland

North Arundel Health & Rehab Ctr Avg Payment Per Stay

47

Page 48: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Severna Park Ctr

310 Genesis Way Number of Beds: 138Severna Park, MD Source: CMS Nursing Home Compare, data as of 4/2015

21146 Severna Park Ctr ALOS: 27.9(410) 544-4220 Maryland Average ALOS: 24.3

Provider Number: 215143 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Severna Park Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Severna Park Ctr

Compared to

Maryland

Average

0.9 1% Above 13% Above

2.1 13% Below 14% Below

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.5%

14.5%

24.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Severna Park Ctr

Maryland

Nation

48

Page 49: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

86.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine84.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSeverna Park Ctr Maryland Average

30.2

43.7

38.4

52.6

35.3

25.4

29.0

27.8

32.7

20.5

43.6

27.8

32.8

47.9

18.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Fractures of Hip & Pelvis w/oMCC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Severna Park Ctr

Maryland

Nation

$525 $487

$300

$400

$500

$600

Severna Park Ctr Maryland

Severna Park Ctr Avg Payment Per Day

$14,634

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Severna Park Ctr Maryland

Severna Park Ctr Avg Payment Per Stay

49

Page 50: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: South River Health & Rehab Ctr

144 Washington Road Number of Beds: 105Edgewater, MD Source: CMS Nursing Home Compare, data as of 4/2015

21037 South River Health & Rehab Ctr ALOS: 27.5(410) 956-5000 Maryland Average ALOS: 24.3

Provider Number: 215297 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

South River Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

South River Health & Rehab Ctr

Compared to

Maryland

Average

0.6 32% Below 24% Below

2.1 12% Below 13% Below

57% 5% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.3%

16.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

South River Health &Rehab Ctr

Maryland

Nation

50

Page 51: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSouth River Health & Rehab Ctr Maryland Average

23.8

29.7

38.4

32.9

35.3

22.3

23.7

27.8

24.6

20.5

25.8

22.8

16.6

37.2

19.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Heart Failure & Shock w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

South River Health & RehabCtr

Maryland

Nation

$509 $487

$300

$400

$500

$600

South River Health &Rehab Ctr

Maryland

South River Health & Rehab Ctr Avg Payment Per Day

$14,005

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

South River Health &Rehab Ctr

Maryland

South River Health & Rehab Ctr Avg Payment Per Stay

51

Page 52: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Spa Creek Ctr

35 Milkshake Lane Number of Beds: 134Annapolis, MD Source: CMS Nursing Home Compare, data as of 4/2015

21403 Spa Creek Ctr ALOS: 23.6(410) 269-5100 Maryland Average ALOS: 24.3

Provider Number: 215258 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Spa Creek Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care No 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Spa Creek Ctr

Compared to

Maryland

Average

1.8 93% Above 116% Above

1.5 37% Below 38% Below

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.2%

7.2%

14.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Spa Creek Ctr

Maryland

Nation

52

Page 53: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSpa Creek Ctr Maryland Average

29.7

33.1

32.9

52.6

35.3

23.7

18.7

24.6

32.7

20.5

22.5

25.3

22.4

28.3

18.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Simple Pneumonia & Pleurisy w/CC

4) Spinal Fusion Except Cervicalw/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Spa Creek Ctr

Maryland

Nation

$512 $487

$300

$400

$500

$600

Spa Creek Ctr Maryland

Spa Creek Ctr Avg Payment Per Day

$12,056 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Spa Creek Ctr Maryland

Spa Creek Ctr Avg Payment Per Stay

53

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County Name:

Facility: The Arbor

7101 Bay Front Drive Number of Beds: 27Annapolis, MD Source: CMS Nursing Home Compare, data as of 4/2015

21403 The Arbor ALOS: 18.4(410) 268-1727 Maryland Average ALOS: 24.3

Provider Number: 215345 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

The Arbor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

The Arbor

Compared to

Maryland

Average

Not Available -- --

Not Available -- --

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

19.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

The Arbor Maryland

Nation

54

Page 55: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageThe Arbor Maryland Average

50.8

24.6

35.3

23.8

29.7

30.8

23.0

20.5

22.3

23.7

38.7

11.3

17.4

19.6

11.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

4) Heart Failure & Shock w/ MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Heart Failure & Shock w/ CC

1) Simple Pneumonia & Pleurisy w/CC

The Arbor Maryland

Nation

$466 $487

$300

$400

$500

$600

The Arbor Maryland

The Arbor Avg Payment Per Day

$8,605

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

The Arbor Maryland

The Arbor Avg Payment Per Stay

55

Page 56: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Waugh Chapel Ctr

1221 Waugh Chapel Road Number of Beds: 47Gambrills, MD Source: CMS Nursing Home Compare, data as of 4/2015

21054 Waugh Chapel Ctr ALOS: 30.6(410) 987-1644 Maryland Average ALOS: 24.3

Provider Number: 215148 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Waugh Chapel Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Waugh Chapel Ctr

Compared to

Maryland

Average

1.3 43% Above 60% Above

2.2 10% Below 11% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Anne Arundel County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

24.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Waugh Chapel Ctr

Maryland

Nation

56

Page 57: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.5% 18.2% 15.6%

Percent of residents who were physically

restrained2.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWaugh Chapel Ctr Maryland Average

29.8

43.7

35.3

41.9

28.9

26.7

29.0

20.5

30.2

23.7

18.0

48.0

32.5

37.3

27.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cellulitis w/o MCC

4) Fractures of Hip & Pelvis w/oMCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Waugh Chapel Ctr

Maryland

Nation

$471 $487

$300

$400

$500

$600

Waugh Chapel Ctr Maryland

Waugh Chapel Ctr Avg Payment Per Day

$14,417

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Waugh Chapel Ctr Maryland

Waugh Chapel Ctr Avg Payment Per Stay

57

Page 58: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Alice Manor Rehab Ctr

2095 Rockrose Avenue Number of Beds: 105Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21211 Alice Manor Rehab Ctr ALOS: 27.5(410) 889-9700 Maryland Average ALOS: 24.3

Provider Number: 215215 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Alice Manor Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Alice Manor Rehab Ctr

Compared to

Maryland

Average

0.7 21% Below 12% Below

2.8 16% Above 14% Above

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

13.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Alice Manor Rehab Ctr

Maryland

Nation

58

Page 59: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAlice Manor Rehab Ctr Maryland Average

26.0

23.8

28.9

32.9

25.6

22.4

22.3

23.7

24.6

35.7

7.0

21.7

34.3

25.5

36.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Red Blood Cell Disorders w/oMCC

4) Heart Failure & Shock w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Psychoses

Alice Manor Rehab Ctr

Maryland

Nation

$513 $487

$300

$400

$500

$600

Alice Manor Rehab Ctr Maryland

Alice Manor Rehab Ctr Avg Payment Per Day

$14,089

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Alice Manor Rehab Ctr Maryland

Alice Manor Rehab Ctr Avg Payment Per Stay

59

Page 60: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Blue Point Nursing & Rehab Ctr

2525 West Belvedere Number of Beds: 125Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21215 Blue Point Nursing & Rehab Ctr ALOS: 29.4(410) 367-9100 Maryland Average ALOS: 24.3

Provider Number: 215340 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Blue Point Nursing & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Blue Point Nursing & Rehab Ctr

Compared to

Maryland

Average

0.4 54% Below 48% Below

2.0 17% Below 18% Below

78% 30% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Blue Point Nursing &Rehab Ctr

Maryland

Nation

60

Page 61: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased32.0% 18.2% 15.6%

Percent of residents who were physically

restrained1.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

49.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine49.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBlue Point Nursing & Rehab Ctr Maryland Average

40.9

25.6

30.2

23.8

33.0

23.9

35.7

25.4

22.3

32.3

26.0

22.5

12.5

36.5

46.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Spinal Procedures w/ CC orSpinal Neurostimulators

4) Psychoses

3) Renal Failure w/ CC

2) Heart Failure & Shock w/ CC

1) Rehabilitation w/ CC/MCC

Blue Point Nursing & RehabCtr

Maryland

Nation

$391

$487

$300

$400

$500

$600

Blue Point Nursing &Rehab Ctr

Maryland

Blue Point Nursing & Rehab Ctr Avg Payment Per Day

$11,511 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Blue Point Nursing &Rehab Ctr

Maryland

Blue Point Nursing & Rehab Ctr Avg Payment Per Stay

61

Page 62: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Bridgepark Healthcare Ctr - Frm Liberty Heights

4017 Liberty Heights Ave. Number of Beds: 2Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015 10621207 Bridgepark Healthcare Ctr - Frm Liberty Heights ALOS:

(410) 542-5306 Maryland Average ALOS: 29.6Provider Number: 215195 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bridgepark Healthcare Ctr -

Frm Liberty Heights

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bridgepark Healthcare Ctr - Frm

Liberty Heights

Compared to

Maryland

Average

1.0 5% Above 17% Above

2.2 10% Below 12% Below

81% 35% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

21.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bridgepark HealthcareCtr - Frm LibertyHeights

Maryland

Nation

62

Page 63: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine90.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBridgepark Healthcare Ctr - Frm Liberty Heights Maryland Average

27.9

45.4

34.4

27.7

22.4

25.6

31.5

29.5

24.7

22.3

14.7

41.3

36.3

29.5

63.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Diabetes w/ CC

4) Amputation for CirculatorySystem Disorders Except Upper

Limb & Toe w/ CC

3) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

2) Respiratory System Diagnosis w/Ventilator Support 96+ Hours

1) Pulmonary Edema & RespiratoryFailure

Bridgepark Healthcare Ctr -Frm Liberty Heights

Maryland

Nation

$552

$487

$300

$400

$500

$600

Bridgepark Healthcare Ctr -Frm Liberty Heights

Maryland

Bridgepark Healthcare Ctr - Frm Liberty Heights Avg Payment Per Day

$16,325

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Bridgepark Healthcare Ctr -Frm Liberty Heights

Maryland

Bridgepark Healthcare Ctr - Frm Liberty Heights Avg Payment Per Stay

63

Page 64: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Brinton Woods Hlth & Rehab Ctr Arlington West

3939 Penhurst Avenue Number of Beds: 2Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015 8021215 Brinton Woods Hlth & Rehab Ctr Arlington West ALOS:

(410) 664-9535 Maryland Average ALOS: 24.0Provider Number: 215349 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Brinton Woods Hlth & Rehab

Ctr Arlington West

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Brinton Woods Hlth & Rehab Ctr

Arlington West

Compared to

Maryland

Average

0.5 41% Below 34% Below

2.6 9% Above 8% Above

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.1%

17.5%

31.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Brinton Woods Hlth &Rehab Ctr ArlingtonWest

Maryland

Nation

64

Page 65: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBrinton Woods Hlth & Rehab Ctr Arlington West Maryland Average

30.2

29.3

25.8

26.7

28.9

25.4

25.7

25.3

22.7

23.7

4.5

29.5

15.3

28.0

24.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Renal Failure w/ CC

4) Renal Failure w/ MCC

3) Esophagitis, Gastroenteritis &Miscellaneous Digestive Disorders

w/o MCC

2) Cardiac Arrhythmia &Conduction Disorders w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Brinton Woods Hlth &Rehab Ctr Arlington West

Maryland

Nation

$518 $487

$300

$400

$500

$600

Brinton Woods Hlth & RehabCtr Arlington West

Maryland

Brinton Woods Hlth & Rehab Ctr Arlington West Avg Payment Per Day

$12,446 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Brinton Woods Hlth &Rehab Ctr Arlington West

Maryland

Brinton Woods Hlth & Rehab Ctr Arlington West Avg Payment Per Stay

65

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County Name:

Facility: Brinton Woods Post Acute Care Ctr

5009 Frankford Avenue Number of Beds: 225Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21206 Brinton Woods Post Acute Care Ctr ALOS: 32.0(410) 325-4000 Maryland Average ALOS: 24.3

Provider Number: 215330 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Brinton Woods Post Acute

Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Brinton Woods Post Acute Care

Ctr

Compared to

Maryland

Average

0.7 25% Below 16% Below

2.4 1% Above The Same

42% 30% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.9%

15.2%

27.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Brinton Woods PostAcute Care Ctr

Maryland

Nation

66

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased33.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine88.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBrinton Woods Post Acute Care Ctr Maryland Average

38.6

24.6

30.1

39.4

28.9

26.8

23.0

24.0

29.4

23.7

43.3

36.0

31.8

32.3

36.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Organic Disturbances & MentalRetardation

4) Heart Failure & Shock w/ MCC

3) Other Vascular Procedures w/MCC

2) Degenerative Nervous SystemDisorders w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Brinton Woods Post AcuteCare Ctr

Maryland

Nation

$508 $487

$300

$400

$500

$600

Brinton Woods Post AcuteCare Ctr

Maryland

Brinton Woods Post Acute Care Ctr Avg Payment Per Day

$16,253

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Brinton Woods Post AcuteCare Ctr

Maryland

Brinton Woods Post Acute Care Ctr Avg Payment Per Stay

67

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County Name:

Facility: Caton Manor

3330 Wilkens Avenue Number of Beds: 140Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21229 Caton Manor ALOS: 29.3(410) 525-1544 Maryland Average ALOS: 24.3

Provider Number: 215085 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Caton Manor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Caton Manor

Compared to

Maryland

Average

0.9 7% Below 4% Above

2.0 19% Below 20% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

10.2%

20.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Caton Manor

Maryland

Nation

68

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased31.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine87.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCaton Manor Maryland Average

29.8

30.8

32.9

28.9

23.8

26.7

26.7

24.6

23.7

22.3

52.2

12.2

30.0

39.6

25.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cellulitis w/o MCC

4) Peripheral Vascular Disorders w/CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Heart Failure & Shock w/ CC

Caton Manor Maryland

Nation

$492 $487

$300

$400

$500

$600

Caton Manor Maryland

Caton Manor Avg Payment Per Day

$14,403

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Caton Manor Maryland

Caton Manor Avg Payment Per Stay

69

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County Name:

Facility: Fayette Health & Rehab Ctr

1217 West Fayette Street Number of Beds: 156Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21223 Fayette Health & Rehab Ctr ALOS: 29.5(410) 727-3947 Maryland Average ALOS: 24.3

Provider Number: 215183 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fayette Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fayette Health & Rehab Ctr

Compared to

Maryland

Average

0.5 52% Below 46% Below

2.1 12% Below 13% Below

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

21.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fayette Health &Rehab Ctr

Maryland

Nation

70

Page 71: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers0.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased28.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFayette Health & Rehab Ctr Maryland Average

24.8

32.9

28.3

30.3

28.9

26.3

24.6

22.8

23.7

23.7

24.3

38.3

29.7

12.0

44.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) HIV w/ Major Related Conditionw/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Simple Pneumonia & Pleurisy w/MCC

2) Seizures w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Fayette Health & Rehab Ctr

Maryland

Nation

$544

$487

$300

$400

$500

$600

Fayette Health & RehabCtr

Maryland

Fayette Health & Rehab Ctr Avg Payment Per Day

$16,073

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Fayette Health & RehabCtr

Maryland

Fayette Health & Rehab Ctr Avg Payment Per Stay

71

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County Name:

Facility: Future Care Canton Harbor

1300 S. Ellwood Avenue Number of Beds: 160Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21224 Future Care Canton Harbor ALOS: 22.8(410) 342-6644 Maryland Average ALOS: 24.3

Provider Number: 215176 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Canton Harbor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Canton Harbor

Compared to

Maryland

Average

1.0 4% Above 16% Above

2.2 11% Below 12% Below

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.0%

15.5%

28.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Future Care CantonHarbor

Maryland

Nation

72

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

90.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Canton Harbor Maryland Average

49.1

23.8

24.6

30.8

28.9

31.5

22.3

23.0

24.8

23.7

25.4

20.3

23.8

26.8

26.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Fracture, Sprain, Strain &Dislocation Except Femur, Hip,

Pelvis & Thigh w/o MCC

4) Heart Failure & Shock w/ CC

3) Heart Failure & Shock w/ MCC

2) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Canton Harbor

Maryland

Nation

$480 $487

$300

$400

$500

$600

Future Care CantonHarbor

Maryland

Future Care Canton Harbor Avg Payment Per Day

$10,924 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care CantonHarbor

Maryland

Future Care Canton Harbor Avg Payment Per Stay

73

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County Name:

Facility: Future Care Charles Village

2327 N. Charles St Number of Beds: 109Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21218 Future Care Charles Village ALOS: 21.8(410) 889-8500 Maryland Average ALOS: 24.3

Provider Number: 215324 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Charles Village

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Charles Village

Compared to

Maryland

Average

1.0 12% Above 26% Above

2.4 1% Below 3% Below

50% 17% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.0%

11.7%

23.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future Care CharlesVillage

Maryland

Nation

74

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

55.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Charles Village Maryland Average

39.4

24.2

23.8

32.9

28.9

25.0

20.3

22.3

24.6

23.7

22.8

14.0

22.8

22.8

29.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Medical Back Problems w/o MCC

4) Other Circulatory SystemDiagnoses w/ MCC

3) Heart Failure & Shock w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Charles Village

Maryland

Nation

$507 $487

$300

$400

$500

$600

Future Care CharlesVillage

Maryland

Future Care Charles Village Avg Payment Per Day

$11,043 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care CharlesVillage

Maryland

Future Care Charles Village Avg Payment Per Stay

75

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County Name:

Facility: Future Care Cold Spring

4700 Harford Road Number of Beds: 137Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21214 Future Care Cold Spring ALOS: 20.1(410) 254-3300 Maryland Average ALOS: 24.3

Provider Number: 215253 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Cold Spring

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Cold Spring

Compared to

Maryland

Average

1.1 15% Above 29% Above

2.3 6% Below 7% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.4%

12.0%

23.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future Care ColdSpring

Maryland

Nation

76

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine91.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Cold Spring Maryland Average

24.2

23.8

28.9

29.3

24.6

20.3

22.3

23.7

25.7

23.0

8.5

17.2

14.1

12.7

32.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Other Circulatory SystemDiagnoses w/ MCC

4) Heart Failure & Shock w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Renal Failure w/ MCC

1) Heart Failure & Shock w/ MCC

Future Care Cold Spring

Maryland

Nation

$507 $487

$300

$400

$500

$600

Future Care Cold Spring Maryland

Future Care Cold Spring Avg Payment Per Day

$10,167

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Cold Spring Maryland

Future Care Cold Spring Avg Payment Per Stay

77

Page 78: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Future Care Homewood

2700 N. Charles St. Number of Beds: 141Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21218 Future Care Homewood ALOS: 18.9(410) 554-6300 Maryland Average ALOS: 24.3

Provider Number: 215249 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Homewood

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Homewood

Compared to

Maryland

Average

1.3 37% Above 54% Above

2.5 4% Above 3% Above

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.0%

17.9%

33.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Future CareHomewood

Maryland

Nation

78

Page 79: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

88.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Homewood Maryland Average

30.8

24.2

30.1

24.8

28.9

24.8

20.3

24.0

22.3

23.7

27.9

19.9

16.3

17.3

17.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Other Circulatory SystemDiagnoses w/ MCC

3) Other Vascular Procedures w/MCC

2) Respiratory System Diagnosis w/Ventilator Support <96 Hours

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Homewood

Maryland

Nation

$510 $487

$300

$400

$500

$600

Future Care Homewood Maryland

Future Care Homewood Avg Payment Per Day

$9,617

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

Future Care Homewood Maryland

Future Care Homewood Avg Payment Per Stay

79

Page 80: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Future Care Irvington

22 South Athol Avenue Number of Beds: 200Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21229 Future Care Irvington ALOS: 21.6(410) 947-3052 Maryland Average ALOS: 24.3

Provider Number: 215219 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Irvington

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Irvington

Compared to

Maryland

Average

1.5 62% Above 82% Above

2.9 18% Above 17% Above

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.0%

17.5%

29.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Future Care Irvington

Maryland

Nation

80

Page 81: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain10.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers18.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.9% 18.2% 15.6%

Percent of residents who were physically

restrained1.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Irvington Maryland Average

30.2

27.7

24.6

34.4

28.9

25.4

24.7

23.0

29.5

23.7

23.7

27.4

31.1

29.3

19.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Renal Failure w/ CC

4) Respiratory System Diagnosis w/Ventilator Support 96+ Hours

3) Heart Failure & Shock w/ MCC

2) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Irvington

Maryland

Nation

$542

$487

$300

$400

$500

$600

Future Care Irvington Maryland

Future Care Irvington Avg Payment Per Day

$11,723 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Irvington Maryland

Future Care Irvington Avg Payment Per Stay

81

Page 82: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Future Care Sandtown-Winchester

1000 N. Gilmore Street Number of Beds: 148Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21217 Future Care Sandtown-Winchester ALOS: 21.1(410) 669-2750 Maryland Average ALOS: 24.3

Provider Number: 215271 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Sandtown-

Winchester

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Sandtown-

Winchester

Compared to

Maryland

Average

0.8 19% Below 10% Below

2.7 10% Above 8% Above

82% 37% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.6%

14.1%

23.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future CareSandtown-Winchester

Maryland

Nation

82

Page 83: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Sandtown-Winchester Maryland Average

30.3

41.9

23.8

31.3

28.9

23.7

30.2

22.3

24.3

23.7

30.4

37.6

11.8

23.0

31.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Seizures w/o MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Heart Failure & Shock w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Sandtown-Winchester

Maryland

Nation

$511 $487

$300

$400

$500

$600

Future Care Sandtown-Winchester

Maryland

Future Care Sandtown-Winchester Avg Payment Per Day

$10,787 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Sandtown-Winchester

Maryland

Future Care Sandtown-Winchester Avg Payment Per Stay

83

Page 84: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Good Samaritan Nursing Ctr

1601 E. Belvedere Avenue Number of Beds: 146Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21239 Good Samaritan Nursing Ctr ALOS: 18.2(410) 532-5600 Maryland Average ALOS: 24.3

Provider Number: 215241 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Good Samaritan Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Good Samaritan Nursing Ctr

Compared to

Maryland

Average

1.0 6% Above 19% Above

2.6 9% Above 8% Above

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.9%

17.1%

32.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Good SamaritanNursing Ctr

Maryland

Nation

84

Page 85: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGood Samaritan Nursing Ctr Maryland Average

35.3

24.6

28.9

23.8

33.0

20.5

23.0

23.7

22.3

32.3

14.8

14.6

15.1

13.6

17.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Heart Failure & Shock w/ MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Heart Failure & Shock w/ CC

1) Rehabilitation w/ CC/MCC

Good Samaritan Nursing Ctr

Maryland

Nation

$449 $487

$300

$400

$500

$600

Good Samaritan NursingCtr

Maryland

Good Samaritan Nursing Ctr Avg Payment Per Day

$8,191

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Good Samaritan NursingCtr

Maryland

Good Samaritan Nursing Ctr Avg Payment Per Stay

85

Page 86: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Homewood Ctr

6000 Bellona Avenue Number of Beds: 112Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21212 Homewood Ctr ALOS: 29.7(410) 323-4223 Maryland Average ALOS: 24.3

Provider Number: 215074 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Homewood Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Homewood Ctr

Compared to

Maryland

Average

0.7 21% Below 11% Below

2.0 16% Below 17% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

17.1%

23.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Homewood Ctr

Maryland

Nation

86

Page 87: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased33.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHomewood Ctr Maryland Average

24.1

34.6

30.2

29.1

30.3

22.2

28.8

25.4

20.6

23.7

15.7

27.0

73.3

30.7

78.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0

5) HIV w/ Major Related Conditionw/ CC

4) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

3) Renal Failure w/ CC

2) Connective Tissue Disorders w/CC

1) Seizures w/o MCC

Homewood Ctr

Maryland

Nation

$563

$487

$300

$400

$500

$600

Homewood Ctr Maryland

Homewood Ctr Avg Payment Per Day

$16,719

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Homewood Ctr Maryland

Homewood Ctr Avg Payment Per Stay

87

Page 88: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Keswick Multi-Care Ctr

700 West 40th Street Number of Beds: 242Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21211 Keswick Multi-Care Ctr ALOS: 26.4(410) 235-8860 Maryland Average ALOS: 24.3

Provider Number: 215037 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Keswick Multi-Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Keswick Multi-Care Ctr

Compared to

Maryland

Average

0.8 15% Below 5% Below

2.7 11% Above 10% Above

65% 8% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.2%

8.6%

15.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Keswick Multi-CareCtr

Maryland

Nation

88

Page 89: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

89.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageKeswick Multi-Care Ctr Maryland Average

30.8

52.6

23.8

33.0

35.3

24.8

32.7

22.3

32.3

20.5

25.5

37.2

26.0

43.9

20.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Heart Failure & Shock w/ CC

2) Rehabilitation w/ CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Keswick Multi-Care Ctr

Maryland

Nation

$499 $487

$300

$400

$500

$600

Keswick Multi-Care Ctr Maryland

Keswick Multi-Care Ctr Avg Payment Per Day

$13,162 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Keswick Multi-Care Ctr Maryland

Keswick Multi-Care Ctr Avg Payment Per Stay

89

Page 90: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Levindale Hebrew Geriatric Ctr & Hsp

2434 W. Belvedere Avenue Number of Beds: 201Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21215 Levindale Hebrew Geriatric Ctr & Hsp ALOS: 25.5(410) 466-8700 Maryland Average ALOS: 24.3

Provider Number: 215033 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Levindale Hebrew Geriatric Ctr

& Hsp

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Levindale Hebrew Geriatric Ctr &

Hsp

Compared to

Maryland

Average

1.0 9% Above 22% Above

3.1 29% Above 28% Above

34% 43% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.2%

12.3%

23.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Levindale HebrewGeriatric Ctr & Hsp

Maryland

Nation

90

Page 91: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder7.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.9% 18.2% 15.6%

Percent of residents who were physically

restrained2.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLevindale Hebrew Geriatric Ctr & Hsp Maryland Average

28.9

52.6

38.6

22.4

33.0

23.7

32.7

26.8

22.3

32.3

41.3

29.0

23.3

35.3

22.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Organic Disturbances & MentalRetardation

2) Pulmonary Edema & RespiratoryFailure

1) Rehabilitation w/ CC/MCC

Levindale Hebrew GeriatricCtr & Hsp

Maryland

Nation

$493 $487

$300

$400

$500

$600

Levindale HebrewGeriatric Ctr & Hsp

Maryland

Levindale Hebrew Geriatric Ctr & Hsp Avg Payment Per Day

$12,555 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Levindale HebrewGeriatric Ctr & Hsp

Maryland

Levindale Hebrew Geriatric Ctr & Hsp Avg Payment Per Stay

91

Page 92: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Lochearn Nursing Home

4800 Seton Drive Number of Beds: 200Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21215 Lochearn Nursing Home ALOS: 19.4(410) 358-3410 Maryland Average ALOS: 24.3

Provider Number: 215207 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lochearn Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lochearn Nursing Home

Compared to

Maryland

Average

0.9 2% Below 9% Above

2.5 4% Above 2% Above

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.8%

11.6%

21.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lochearn NursingHome

Maryland

Nation

92

Page 93: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLochearn Nursing Home Maryland Average

34.6

30.2

30.1

24.6

28.9

28.8

25.4

24.0

23.0

23.7

33.9

14.3

23.6

13.7

12.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

4) Renal Failure w/ CC

3) Other Vascular Procedures w/MCC

2) Heart Failure & Shock w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Lochearn Nursing Home

Maryland

Nation

$509 $487

$300

$400

$500

$600

Lochearn Nursing Home Maryland

Lochearn Nursing Home Avg Payment Per Day

$9,858

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lochearn Nursing Home Maryland

Lochearn Nursing Home Avg Payment Per Stay

93

Page 94: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Long Green Ctr

115 East Melrose Avenue Number of Beds: 134Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21212 Long Green Ctr ALOS: 27.5(410) 435-9073 Maryland Average ALOS: 24.3

Provider Number: 215031 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Long Green Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Long Green Ctr

Compared to

Maryland

Average

0.8 20% Below 10% Below

2.3 4% Below 6% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.2%

13.5%

28.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Long Green Ctr

Maryland

Nation

94

Page 95: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers14.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased44.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

75.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLong Green Ctr Maryland Average

29.7

31.3

23.8

28.9

33.0

23.7

24.3

22.3

23.7

32.3

53.3

31.4

15.8

11.0

42.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Simple Pneumonia & Pleurisy w/CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Heart Failure & Shock w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Rehabilitation w/ CC/MCC

Long Green Ctr

Maryland

Nation

$492 $487

$300

$400

$500

$600

Long Green Ctr Maryland

Long Green Ctr Avg Payment Per Day

$13,558

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Long Green Ctr Maryland

Long Green Ctr Avg Payment Per Stay

95

Page 96: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: ManorCare - Roland Park

4669 Falls Road Number of Beds: 120Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21209 ManorCare - Roland Park ALOS: 28.1(410) 662-8606 Maryland Average ALOS: 24.3

Provider Number: 215301 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Roland Park

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Roland Park

Compared to

Maryland

Average

0.9 1% Above 13% Above

1.8 26% Below 27% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

16.0%

26.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - RolandPark

Maryland

Nation

96

Page 97: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Roland Park Maryland Average

30.2

23.8

24.6

32.9

28.9

24.1

22.3

23.0

24.6

23.7

14.6

22.6

20.2

23.6

30.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Syncope & Collapse

4) Heart Failure & Shock w/ CC

3) Heart Failure & Shock w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - RolandPark

Maryland

Nation

$479 $487

$300

$400

$500

$600

ManorCare - Roland Park Maryland

ManorCare - Roland Park Avg Payment Per Day

$13,434

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Roland Park Maryland

ManorCare - Roland Park Avg Payment Per Stay

97

Page 98: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Maryland Baptist Aged Home

2801 Rayner Avenue Number of Beds: 29Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21216 Maryland Baptist Aged Home ALOS: 36.5(410) 945-7650 Maryland Average ALOS: 24.3

Provider Number: 215360 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Maryland Baptist Aged Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care No 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Maryland Baptist Aged Home

Compared to

Maryland

Average

0.9 The Same 12% Above

2.2 8% Below 9% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Maryland Baptist AgedHome

Maryland

Nation

98

Page 99: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior HospitalizationLimited Data Available

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.6% 3.2%

Percent of residents with a urinary tract

infection0.0% 5.0% 5.7%

Percent of who self report moderate to severe

pain0.0% 5.0% 7.6%

Percent of high risk residents with pressure

ulcers0.0% 6.8% 6.0%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.1% 18.3% 15.6%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

75.0% 94.6% 94.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine69.4% 94.1% 94.1%

Source: CMS Nursing Home Compare, data collected 1/2014 through 9/2014

National AverageMaryland Baptist Aged Home Maryland Average

41.9

30.2

21.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Maryland Baptist AgedHome

Maryland

Nation

$440 $487

$300

$400

$500

$600

Maryland Baptist AgedHome

Maryland

Maryland Baptist Aged Home Avg Payment Per Day

$16,045

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Maryland Baptist AgedHome

Maryland

Maryland Baptist Aged Home Avg Payment Per Stay

99

Page 100: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Northwest Nursing & Rehab Ctr

4601 Pall Mall Road Number of Beds: 91Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21215 Northwest Nursing & Rehab Ctr ALOS: 31.5(410) 664-5551 Maryland Average ALOS: 24.3

Provider Number: 215346 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Northwest Nursing & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Northwest Nursing & Rehab Ctr

Compared to

Maryland

Average

0.2 74% Below 71% Below

1.7 28% Below 29% Below

59% 2% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Northwest Nursing &Rehab Ctr

Maryland

Nation

100

Page 101: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased20.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNorthwest Nursing & Rehab Ctr Maryland Average

32.5

41.9

29.8

28.9

24.8

22.2

30.2

26.7

23.7

22.3

24.0

1.0

20.0

29.0

10.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Nonspecific CerebrovascularDisorders w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Cellulitis w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Respiratory System Diagnosis w/Ventilator Support <96 Hours

Northwest Nursing & RehabCtr

Maryland

Nation

$524 $487

$300

$400

$500

$600

Northwest Nursing &Rehab Ctr

Maryland

Northwest Nursing & Rehab Ctr Avg Payment Per Day

$16,492

$11,840

$9,000 $11,000 $13,000 $15,000 $17,000

Northwest Nursing &Rehab Ctr

Maryland

Northwest Nursing & Rehab Ctr Avg Payment Per Stay

101

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County Name:

Facility: Overlea Health & Rehab Ctr

6116 Belair Road Number of Beds: 160Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21206 Overlea Health & Rehab Ctr ALOS: 23.9(410) 426-1424 Maryland Average ALOS: 24.3

Provider Number: 215209 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Overlea Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Overlea Health & Rehab Ctr

Compared to

Maryland

Average

1.0 5% Above 17% Above

2.4 2% Below 3% Below

43% 28% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.7%

11.9%

25.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Overlea Health &Rehab Ctr

Maryland

Nation

102

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

67.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine80.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageOverlea Health & Rehab Ctr Maryland Average

31.3

33.8

27.8

33.0

28.9

24.3

25.8

20.8

32.3

23.7

26.3

6.0

22.6

33.7

12.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Kidney & Urinary Tract Infectionsw/ MCC

3) Other Kidney & Urinary TractDiagnoses w/ CC

2) Rehabilitation w/ CC/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Overlea Health & Rehab Ctr

Maryland

Nation

$466 $487

$300

$400

$500

$600

Overlea Health & RehabCtr

Maryland

Overlea Health & Rehab Ctr Avg Payment Per Day

$11,163 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Overlea Health & RehabCtr

Maryland

Overlea Health & Rehab Ctr Avg Payment Per Stay

103

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County Name:

Facility: Roland Park Place

830 W 40 Street Number of Beds: 71Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21211 Roland Park Place ALOS: 20.2(410) 243-5800 Maryland Average ALOS: 24.3

Provider Number: 215154 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Roland Park Place

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Roland Park Place

Compared to

Maryland

Average

0.9 4% Below 7% Above

3.4 40% Above 38% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Roland Park Place

Maryland

Nation

104

Page 105: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRoland Park Place Maryland Average

33.0

28.9

52.6

39.4

32.9

32.3

23.7

32.7

29.4

24.6

25.0

10.0

31.5

40.5

22.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Rehabilitation w/ CC/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Degenerative Nervous SystemDisorders w/o MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Roland Park Place

Maryland

Nation

$493 $487

$300

$400

$500

$600

Roland Park Place Maryland

Roland Park Place Avg Payment Per Day

$9,971

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Roland Park Place Maryland

Roland Park Place Avg Payment Per Stay

105

Page 106: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: St. Elizabeth Rehab & Nursing Ctr

3320 Benson Avenue Number of Beds: 162Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21227 St. Elizabeth Rehab & Nursing Ctr ALOS: 27.2(410) 644-7100 Maryland Average ALOS: 24.3

Provider Number: 215044 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

St. Elizabeth Rehab & Nursing

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

St. Elizabeth Rehab & Nursing Ctr

Compared to

Maryland

Average

0.5 47% Below 41% Below

2.8 14% Above 13% Above

43% 28% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.0%

13.9%

24.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

St. Elizabeth Rehab &Nursing Ctr

Maryland

Nation

106

Page 107: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.0% 18.2% 15.6%

Percent of residents who were physically

restrained2.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSt. Elizabeth Rehab & Nursing Ctr Maryland Average

27.9

32.9

52.6

33.0

28.9

22.3

24.6

32.7

32.3

23.7

26.5

23.2

28.7

32.1

24.6

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) G.I. Hemorrhage w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Rehabilitation w/ CC/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

St. Elizabeth Rehab &Nursing Ctr

Maryland

Nation

$473 $487

$300

$400

$500

$600

St. Elizabeth Rehab &Nursing Ctr

Maryland

St. Elizabeth Rehab & Nursing Ctr Avg Payment Per Day

$12,880 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

St. Elizabeth Rehab &Nursing Ctr

Maryland

St. Elizabeth Rehab & Nursing Ctr Avg Payment Per Stay

107

Page 108: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: The Green House at Stadium Place

1010 East 33rd Street Number of Beds: 49Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21218 The Green House at Stadium Place ALOS: 25.2(410) 646-6580 Maryland Average ALOS: 24.3

Provider Number: 215356 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

The Green House at Stadium

Place

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

The Green House at Stadium

Place

Compared to

Maryland

Average

0.8 19% Below 9% Below

4.8 99% Above 96% Above

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

15.8%

24.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

The Green House atStadium Place

Maryland

Nation

108

Page 109: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers14.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine90.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageThe Green House at Stadium Place Maryland Average

29.7

22.4

28.9

30.2

23.8

23.7

22.3

23.7

25.4

22.3

32.0

27.0

21.8

6.3

36.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Simple Pneumonia & Pleurisy w/CC

4) Pulmonary Edema & RespiratoryFailure

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Renal Failure w/ CC

1) Heart Failure & Shock w/ CC

The Green House atStadium Place

Maryland

Nation

$495 $487

$300

$400

$500

$600

The Green House atStadium Place

Maryland

The Green House at Stadium Place Avg Payment Per Day

$12,479 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

The Green House atStadium Place

Maryland

The Green House at Stadium Place Avg Payment Per Stay

109

Page 110: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Transitional Care at Good Samaritan

5601 Loch Raven Boulevard Number of Beds: 30Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21239 Transitional Care at Good Samaritan ALOS: 14.5(443) 444-4070 Maryland Average ALOS: 24.3

Provider Number: 215280 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Transitional Care at Good

Samaritan

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Transitional Care at Good

Samaritan

Compared to

Maryland

Average

3.2 238% Above 278% Above

2.7 12% Above 11% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.7%

18.0%

30.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Transitional Care atGood Samaritan

Maryland

Nation

110

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageTransitional Care at Good Samaritan Maryland Average

31.0

28.9

23.8

35.3

33.0

25.9

23.7

22.3

20.5

32.3

16.0

15.3

12.5

10.9

18.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Rehabilitation w/o CC/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Heart Failure & Shock w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Rehabilitation w/ CC/MCC

Transitional Care at GoodSamaritan

Maryland

Nation

$523 $487

$300

$400

$500

$600

Transitional Care at GoodSamaritan

Maryland

Transitional Care at Good Samaritan Avg Payment Per Day

$7,582

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Transitional Care at GoodSamaritan

Maryland

Transitional Care at Good Samaritan Avg Payment Per Stay

111

Page 112: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Transitional Care Services at Mercy Medical Ctr

301 St. Paul Place Number of Beds: 5Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015 3521202 Transitional Care Services at Mercy Medical Ctr ALOS:

(410) 332-9287 Maryland Average ALOS: 10.6Provider Number: 215283 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Transitional Care Services at

Mercy Medical Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Transitional Care Services at

Mercy Medical Ctr

Compared to

Maryland

Average

2.7 190% Above 225% Above

2.2 9% Below 11% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.6%

11.8%

20.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Transitional CareServices at MercyMedical Ctr

Maryland

Nation

112

Page 113: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageTransitional Care Services at Mercy Medical Ctr Maryland Average

38.5

35.4

34.8

33.1

35.3

24.8

24.3

18.4

18.7

20.5

12.0

10.0

10.8

9.0

10.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Revision of Hip or KneeReplacement w/ CC

4) Signs & Symptoms ofMusculoskeletal System &

Connective Tissue w/o MCC

3) Combined Anterior/PosteriorSpinal Fusion w/ CC

2) Spinal Fusion Except Cervicalw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Transitional Care Servicesat Mercy Medical Ctr

Maryland

Nation

$477 $487

$300

$400

$500

$600

Transitional Care Services atMercy Medical Ctr

Maryland

Transitional Care Services at Mercy Medical Ctr Avg Payment Per Day

$5,072

$11,840

$4,000 $6,000 $8,000

$10,000 $12,000 $14,000

Transitional Care Services atMercy Medical Ctr

Maryland

Transitional Care Services at Mercy Medical Ctr Avg Payment Per Stay

113

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County Name:

Facility: Westgate Hills Rehab & Healthcare Ctr

10 N. Rock Glen Road Number of Beds: 120Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21229 Westgate Hills Rehab & Healthcare Ctr ALOS: 28.0(410) 646-2100 Maryland Average ALOS: 24.3

Provider Number: 215299 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Westgate Hills Rehab &

Healthcare Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Westgate Hills Rehab &

Healthcare Ctr

Compared to

Maryland

Average

0.9 2% Below 9% Above

2.1 14% Below 15% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore City

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

20.8%

37.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Westgate Hills Rehab& Healthcare Ctr

Maryland

Nation

114

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine85.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWestgate Hills Rehab & Healthcare Ctr Maryland Average

36.8

33.0

29.3

29.7

28.9

26.8

32.3

25.7

23.7

23.7

13.0

35.3

19.5

25.8

36.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Intracranial Hemorrhage orCerebral Infarction w/o CC/MCC

4) Rehabilitation w/ CC/MCC

3) Renal Failure w/ MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Westgate Hills Rehab &Healthcare Ctr

Maryland

Nation

$427

$487

$300

$400

$500

$600

Westgate Hills Rehab &Healthcare Ctr

Maryland

Westgate Hills Rehab & Healthcare Ctr Avg Payment Per Day

$11,971 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Westgate Hills Rehab &Healthcare Ctr

Maryland

Westgate Hills Rehab & Healthcare Ctr Avg Payment Per Stay

115

Page 116: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Augsburg Lutheran Home

6811 Campfield Road Number of Beds: 131Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21207 Augsburg Lutheran Home ALOS: 27.0(410) 486-4573 Maryland Average ALOS: 24.3

Provider Number: 215193 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Augsburg Lutheran Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Augsburg Lutheran Home

Compared to

Maryland

Average

0.7 30% Below 22% Below

2.3 5% Below 6% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.6%

16.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Augsburg LutheranHome

Maryland

Nation

116

Page 117: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased7.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

63.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAugsburg Lutheran Home Maryland Average

30.2

35.3

21.9

32.9

31.3

25.4

20.5

21.2

24.6

24.3

8.5

49.0

24.5

25.4

20.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Chronic Obstructive PulmonaryDisease w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

Augsburg Lutheran Home

Maryland

Nation

$463 $487

$300

$400

$500

$600

Augsburg Lutheran Home Maryland

Augsburg Lutheran Home Avg Payment Per Day

$12,520 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Augsburg Lutheran Home Maryland

Augsburg Lutheran Home Avg Payment Per Stay

117

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County Name:

Facility: Broadmead

13801 York Road Number of Beds: 70Cockeysville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21030 Broadmead ALOS: 17.0(410) 527-1900 Maryland Average ALOS: 24.3

Provider Number: 215123 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Broadmead

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Broadmead

Compared to

Maryland

Average

0.7 28% Below 20% Below

3.5 44% Above 42% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Broadmead

Maryland

Nation

118

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBroadmead Maryland Average

36.8

37.8

33.0

29.7

35.3

26.8

28.5

32.3

23.7

20.5

14.0

8.0

27.5

25.7

22.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Intracranial Hemorrhage orCerebral Infarction w/o CC/MCC

4) Peripheral/Cranial Nerve & OtherNervous System Procedure w/ CC

or Peripheral Neurostim

3) Rehabilitation w/ CC/MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Broadmead

Maryland

Nation

$397

$487

$300

$400

$500

$600

Broadmead Maryland

Broadmead Avg Payment Per Day

$6,769

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Broadmead Maryland

Broadmead Avg Payment Per Stay

119

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County Name:

Facility: Catonsville Commons

16 Fusting Avenue Number of Beds: 133Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Catonsville Commons ALOS: 26.3(410) 747-1800 Maryland Average ALOS: 24.3

Provider Number: 215097 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Catonsville Commons

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Catonsville Commons

Compared to

Maryland

Average

0.8 14% Below 3% Below

2.2 9% Below 10% Below

72% 20% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

17.4%

32.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Catonsville Commons

Maryland

Nation

120

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased31.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

86.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine84.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCatonsville Commons Maryland Average

39.4

28.9

30.8

33.0

32.9

29.4

23.7

24.8

32.3

24.6

28.6

19.5

27.7

45.8

16.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Degenerative Nervous SystemDisorders w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

2) Rehabilitation w/ CC/MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Catonsville Commons

Maryland

Nation

$462 $487

$300

$400

$500

$600

Catonsville Commons Maryland

Catonsville Commons Avg Payment Per Day

$12,159 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Catonsville Commons Maryland

Catonsville Commons Avg Payment Per Stay

121

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County Name:

Facility: Charlestown Community

709 Maiden Choice Lane Number of Beds: 206Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Charlestown Community ALOS: 22.8(410) 247-9700 Maryland Average ALOS: 24.3

Provider Number: 215223 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Charlestown Community

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Charlestown Community

Compared to

Maryland

Average

0.8 17% Below 7% Below

3.6 48% Above 46% Above

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.7%

6.6%

13.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

CharlestownCommunity

Maryland

Nation

122

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCharlestown Community Maryland Average

41.9

28.9

29.7

52.6

35.3

30.2

23.7

23.7

32.7

20.5

30.8

22.4

24.3

34.5

22.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Charlestown Community

Maryland

Nation

$462 $487

$300

$400

$500

$600

Charlestown Community Maryland

Charlestown Community Avg Payment Per Day

$10,524 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Charlestown Community Maryland

Charlestown Community Avg Payment Per Stay

123

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County Name:

Facility: Chestnut Green Hlth Ctr Blakehurst

1055 West Joppa Road Number of Beds: 42Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21204 Chestnut Green Hlth Ctr Blakehurst ALOS: 25.1(410) 296-2900 Maryland Average ALOS: 24.3

Provider Number: 215255 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chestnut Green Hlth Ctr

Blakehurst

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Chestnut Green Hlth Ctr

Blakehurst

Compared to

Maryland

Average

1.0 4% Above 17% Above

4.9 102% Above 99% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Chestnut Green HlthCtr Blakehurst

Maryland

Nation

124

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageChestnut Green Hlth Ctr Blakehurst Maryland Average

26.0

52.6

23.8

41.9

35.3

22.4

32.7

22.3

30.2

20.5

9.7

53.3

16.0

33.8

10.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Red Blood Cell Disorders w/oMCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Heart Failure & Shock w/ CC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Chestnut Green HlthCtr Blakehurst

Maryland

Nation

$457 $487

$300

$400

$500

$600

Chestnut Green Hlth CtrBlakehurst

Maryland

Chestnut Green Hlth Ctr Blakehurst Avg Payment Per Day

$11,463 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Chestnut Green Hlth CtrBlakehurst

Maryland

Chestnut Green Hlth Ctr Blakehurst Avg Payment Per Stay

125

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County Name:

Facility: Courtland

7920 Scotts Level Road Number of Beds: 151Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21208 Courtland ALOS: 21.7(410) 521-3600 Maryland Average ALOS: 24.3

Provider Number: 215128 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Courtland

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Courtland

Compared to

Maryland

Average

0.5 48% Below 42% Below

1.9 23% Below 24% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.7%

16.5%

30.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Courtland Maryland

Nation

126

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers13.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

87.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine90.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCourtland Maryland Average

30.2

23.8

30.8

28.9

32.9

25.4

22.3

24.8

23.7

24.6

23.0

16.1

19.4

24.7

20.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Renal Failure w/ CC

4) Heart Failure & Shock w/ CC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Courtland Maryland

Nation

$502 $487

$300

$400

$500

$600

Courtland Maryland

Courtland Avg Payment Per Day

$10,908 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Courtland Maryland

Courtland Avg Payment Per Stay

127

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County Name:

Facility: Cromwell Ctr

8710 Emge Road Number of Beds: 129Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21234 Cromwell Ctr ALOS: 24.9(410) 661-5955 Maryland Average ALOS: 24.3

Provider Number: 215129 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Cromwell Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Cromwell Ctr

Compared to

Maryland

Average

1.1 13% Above 27% Above

2.2 9% Below 11% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.2%

20.1%

36.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Cromwell Ctr

Maryland

Nation

128

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury7.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain13.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

68.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine71.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCromwell Ctr Maryland Average

29.3

24.2

24.6

33.0

28.9

25.7

20.3

23.0

32.3

23.7

14.5

24.9

29.5

32.2

18.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Renal Failure w/ MCC

4) Other Circulatory SystemDiagnoses w/ MCC

3) Heart Failure & Shock w/ MCC

2) Rehabilitation w/ CC/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Cromwell Ctr

Maryland

Nation

$499 $487

$300

$400

$500

$600

Cromwell Ctr Maryland

Cromwell Ctr Avg Payment Per Day

$12,434 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Cromwell Ctr Maryland

Cromwell Ctr Avg Payment Per Stay

129

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County Name:

Facility: Envoy of Pikesville

7 Sudbrook Lane Number of Beds: 140Pikesville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21208 Envoy of Pikesville ALOS: 23.6(410) 486-8771 Maryland Average ALOS: 24.3

Provider Number: 215082 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Envoy of Pikesville

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Envoy of Pikesville

Compared to

Maryland

Average

0.5 43% Below 36% Below

2.7 13% Above 11% Above

74% 23% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.5%

16.4%

27.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Envoy of Pikesville

Maryland

Nation

130

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased7.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

86.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageEnvoy of Pikesville Maryland Average

39.4

30.2

30.8

38.6

28.9

29.4

25.4

24.8

26.8

23.7

37.9

15.9

20.6

19.0

22.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Degenerative Nervous SystemDisorders w/o MCC

4) Renal Failure w/ CC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

2) Organic Disturbances & MentalRetardation

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Envoy of Pikesville

Maryland

Nation

$466 $487

$300

$400

$500

$600

Envoy of Pikesville Maryland

Envoy of Pikesville Avg Payment Per Day

$11,001 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Envoy of Pikesville Maryland

Envoy of Pikesville Avg Payment Per Stay

131

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County Name:

Facility: Forest Haven Nursing Home

701 Edmondson Avenue Number of Beds: 167Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Forest Haven Nursing Home ALOS: 23.6(410) 747-7425 Maryland Average ALOS: 24.3

Provider Number: 215252 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Forest Haven Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Forest Haven Nursing Home

Compared to

Maryland

Average

0.4 54% Below 49% Below

2.6 8% Above 7% Above

10% 83% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

16.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Forest Haven NursingHome

Maryland

Nation

132

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.1% 18.2% 15.6%

Percent of residents who were physically

restrained1.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageForest Haven Nursing Home Maryland Average

30.3

32.9

28.9

38.6

25.6

23.7

24.6

23.7

26.8

35.7

38.0

23.5

13.9

29.4

21.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Seizures w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Organic Disturbances & MentalRetardation

1) Psychoses

Forest Haven Nursing Home

Maryland

Nation

$519 $487

$300

$400

$500

$600

Forest Haven NursingHome

Maryland

Forest Haven Nursing Home Avg Payment Per Day

$12,219 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Forest Haven NursingHome

Maryland

Forest Haven Nursing Home Avg Payment Per Stay

133

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County Name:

Facility: Franklin Woods Ctr

9200 Franklin Square Drive Number of Beds: 117Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21237 Franklin Woods Ctr ALOS: 25.8(410) 391-2600 Maryland Average ALOS: 24.3

Provider Number: 215261 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Franklin Woods Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Franklin Woods Ctr

Compared to

Maryland

Average

0.9 The Same 12% Above

2.0 18% Below 19% Below

77% 28% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

12.3%

21.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Franklin Woods Ctr

Maryland

Nation

134

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFranklin Woods Ctr Maryland Average

50.8

28.9

52.6

23.8

35.3

30.8

23.7

32.7

22.3

20.5

27.7

26.6

36.4

23.8

20.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Heart Failure & Shock w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Franklin Woods Ctr

Maryland

Nation

$530 $487

$300

$400

$500

$600

Franklin Woods Ctr Maryland

Franklin Woods Ctr Avg Payment Per Day

$13,680

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Franklin Woods Ctr Maryland

Franklin Woods Ctr Avg Payment Per Stay

135

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County Name:

Facility: Frederick Villa Nursing & Rehab Ctr

711 Academy Road Number of Beds: 125Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Frederick Villa Nursing & Rehab Ctr ALOS: 33.0(410) 788-3300 Maryland Average ALOS: 24.3

Provider Number: 215178 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Frederick Villa Nursing &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Frederick Villa Nursing & Rehab

Ctr

Compared to

Maryland

Average

0.5 51% Below 45% Below

2.2 9% Below 10% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

10.4%

16.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Frederick Villa Nursing& Rehab Ctr

Maryland

Nation

136

Page 137: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased21.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFrederick Villa Nursing & Rehab Ctr Maryland Average

30.8

32.9

31.3

29.7

28.9

24.8

24.6

24.3

23.7

23.7

53.8

49.3

20.9

24.3

30.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Frederick Villa Nursing &Rehab Ctr

Maryland

Nation

$525 $487

$300

$400

$500

$600

Frederick Villa Nursing &Rehab Ctr

Maryland

Frederick Villa Nursing & Rehab Ctr Avg Payment Per Day

$17,326

$11,840

$11,000

$13,000

$15,000

$17,000

$19,000

Frederick Villa Nursing &Rehab Ctr

Maryland

Frederick Villa Nursing & Rehab Ctr Avg Payment Per Stay

137

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County Name:

Facility: Future Care Cherrywood

12020 Reisterstown Road Number of Beds: 168Reisterstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21136 Future Care Cherrywood ALOS: 26.0(410) 833-3801 Maryland Average ALOS: 24.3

Provider Number: 215192 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Cherrywood

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Cherrywood

Compared to

Maryland

Average

1.1 22% Above 37% Above

2.3 4% Below 5% Below

72% 20% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

10.9%

20.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future CareCherrywood

Maryland

Nation

138

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Cherrywood Maryland Average

20.8

28.9

33.0

29.7

32.9

21.7

23.7

32.3

23.7

24.6

17.5

21.2

39.3

15.6

33.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Chronic Obstructive PulmonaryDisease w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Rehabilitation w/ CC/MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Kidney & Urinary Tract Infectionsw/o MCC

Future Care Cherrywood

Maryland

Nation

$503 $487

$300

$400

$500

$600

Future Care Cherrywood Maryland

Future Care Cherrywood Avg Payment Per Day

$13,070 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Cherrywood Maryland

Future Care Cherrywood Avg Payment Per Stay

139

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County Name:

Facility: Future Care Northpoint

1046 Old North Point Road Number of Beds: 180Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21224 Future Care Northpoint ALOS: 19.5(410) 282-0100 Maryland Average ALOS: 24.3

Provider Number: 215147 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Northpoint

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Northpoint

Compared to

Maryland

Average

1.1 14% Above 28% Above

2.0 18% Below 19% Below

65% 8% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.2%

11.7%

21.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future CareNorthpoint

Maryland

Nation

140

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Northpoint Maryland Average

30.2

30.8

23.8

32.9

28.9

25.4

24.8

22.3

24.6

23.7

28.1

21.5

15.8

18.9

18.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Renal Failure w/ CC

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Heart Failure & Shock w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Northpoint

Maryland

Nation

$484 $487

$300

$400

$500

$600

Future Care Northpoint Maryland

Future Care Northpoint Avg Payment Per Day

$9,417

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

Future Care Northpoint Maryland

Future Care Northpoint Avg Payment Per Stay

141

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County Name:

Facility: Future Care Old Court

5412 Old Court Road Number of Beds: 141Randallstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21133 Future Care Old Court ALOS: 24.5(410) 922-3200 Maryland Average ALOS: 24.3

Provider Number: 215118 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Old Court

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Old Court

Compared to

Maryland

Average

1.4 50% Above 68% Above

2.4 2% Below 3% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.1%

16.2%

22.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future Care Old Court

Maryland

Nation

142

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

88.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Old Court Maryland Average

41.9

29.7

28.9

31.3

32.9

30.2

23.7

23.7

24.3

24.6

29.4

21.3

11.2

18.3

25.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Future Care Old Court

Maryland

Nation

$504 $487

$300

$400

$500

$600

Future Care Old Court Maryland

Future Care Old Court Avg Payment Per Day

$12,340 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Old Court Maryland

Future Care Old Court Avg Payment Per Stay

143

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County Name:

Facility: Glen Meadows Retirement Community

11630 Glen Arm Road Number of Beds: 31Glen Arm, MD Source: CMS Nursing Home Compare, data as of 4/2015

21057 Glen Meadows Retirement Community ALOS: 31.3(410) 592-5310 Maryland Average ALOS: 24.3

Provider Number: 215278 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Glen Meadows Retirement

Community

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Glen Meadows Retirement

Community

Compared to

Maryland

Average

1.3 44% Above 61% Above

Not Available -- --

31% 48% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Glen MeadowsRetirementCommunity

Maryland

Nation

144

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain10.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine82.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGlen Meadows Retirement Community Maryland Average

30.2

29.7

28.9

29.8

52.6

24.1

23.7

23.7

26.7

32.7

21.0

50.5

20.0

33.7

58.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Syncope & Collapse

4) Simple Pneumonia & Pleurisy w/CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Cellulitis w/o MCC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Glen Meadows RetirementCommunity

Maryland

Nation

$459 $487

$300

$400

$500

$600

Glen Meadows RetirementCommunity

Maryland

Glen Meadows Retirement Community Avg Payment Per Day

$14,381

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Glen Meadows RetirementCommunity

Maryland

Glen Meadows Retirement Community Avg Payment Per Stay

145

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County Name:

Facility: Greater Baltimore Medical Ctr Sub Acute Unit

6701 North Charles Street Number of Beds: 5Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015 2521204 Greater Baltimore Medical Ctr Sub Acute Unit ALOS:

(443) 849-2012 Maryland Average ALOS: 16.5Provider Number: 215314 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Greater Baltimore Medical Ctr

Sub Acute Unit

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Greater Baltimore Medical Ctr

Sub Acute Unit

Compared to

Maryland

Average

Not Available -- --

Not Available -- --

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.8%

8.1%

14.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Greater BaltimoreMedical Ctr Sub AcuteUnit

Maryland

Nation

146

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGreater Baltimore Medical Ctr Sub Acute Unit Maryland Average

28.9

41.9

29.7

52.6

35.3

23.7

30.2

23.7

32.7

20.5

13.1

13.6

17.2

26.5

13.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Simple Pneumonia & Pleurisy w/CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Greater Baltimore MedicalCtr Sub Acute Unit

Maryland

Nation

$501 $487

$300

$400

$500

$600

Greater Baltimore MedicalCtr Sub Acute Unit

Maryland

Greater Baltimore Medical Ctr Sub Acute Unit Avg Payment Per Day

$8,243

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Greater Baltimore MedicalCtr Sub Acute Unit

Maryland

Greater Baltimore Medical Ctr Sub Acute Unit Avg Payment Per Stay

147

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County Name:

Facility: Heritage Ctr

7232 German Hill Road Number of Beds: 177Dundalk, MD Source: CMS Nursing Home Compare, data as of 4/2015

21222 Heritage Ctr ALOS: 31.1(410) 282-6310 Maryland Average ALOS: 24.3

Provider Number: 215135 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Heritage Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Heritage Ctr

Compared to

Maryland

Average

0.7 22% Below 13% Below

2.5 2% Above The Same

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.4%

11.0%

19.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Heritage Ctr

Maryland

Nation

148

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain11.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHeritage Ctr Maryland Average

35.3

32.9

52.6

28.9

23.8

20.5

24.6

32.7

23.7

22.3

31.8

41.9

41.9

36.8

31.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Heart Failure & Shock w/ CC

Heritage Ctr

Maryland

Nation

$496 $487

$300

$400

$500

$600

Heritage Ctr Maryland

Heritage Ctr Avg Payment Per Day

$15,445

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Heritage Ctr Maryland

Heritage Ctr Avg Payment Per Stay

149

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County Name:

Facility: Holly Hill Nursing & Rehab Ctr

531 Stevenson Lane Number of Beds: 75Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21286 Holly Hill Nursing & Rehab Ctr ALOS: 22.2(410) 823-5310 Maryland Average ALOS: 24.3

Provider Number: 215204 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Holly Hill Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Holly Hill Nursing & Rehab Ctr

Compared to

Maryland

Average

0.4 54% Below 48% Below

1.9 20% Below 21% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

12.4%

22.3%

36.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Holly Hill Nursing &Rehab Ctr

Maryland

Nation

150

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHolly Hill Nursing & Rehab Ctr Maryland Average

31.3

32.9

33.1

23.8

41.9

24.3

24.6

18.7

22.3

30.2

34.5

17.5

3.3

26.8

21.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Spinal Fusion Except Cervicalw/o MCC

2) Heart Failure & Shock w/ CC

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Holly Hill Nursing & RehabCtr

Maryland

Nation

$492 $487

$300

$400

$500

$600

Holly Hill Nursing & RehabCtr

Maryland

Holly Hill Nursing & Rehab Ctr Avg Payment Per Day

$10,954 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Holly Hill Nursing & RehabCtr

Maryland

Holly Hill Nursing & Rehab Ctr Avg Payment Per Stay

151

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County Name:

Facility: Little Sisters of the Poor

601 Maiden Choice Lane Number of Beds: 38Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Little Sisters of the Poor ALOS: 23.6(410) 744-9367 Maryland Average ALOS: 24.3

Provider Number: 215354 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Little Sisters of the Poor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Little Sisters of the Poor

Compared to

Maryland

Average

0.5 44% Below 37% Below

3.6 48% Above 46% Above

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Little Sisters of thePoor

Maryland

Nation

152

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine84.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLittle Sisters of the Poor Maryland Average

27.9

29.7

28.9

32.9

41.9

22.3

23.7

23.7

24.6

30.2

32.5

1.5

21.3

33.7

1.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) G.I. Hemorrhage w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Little Sisters of the Poor

Maryland

Nation

$344

$487

$300

$400

$500

$600

Little Sisters of the Poor Maryland

Little Sisters of the Poor Avg Payment Per Day

$8,126

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Little Sisters of the Poor Maryland

Little Sisters of the Poor Avg Payment Per Stay

153

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County Name:

Facility: Loch Raven Ctr

8720 Emge Road Number of Beds: 94Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21234 Loch Raven Ctr ALOS: 20.6(410) 668-1961 Maryland Average ALOS: 24.3

Provider Number: 215090 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Loch Raven Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Loch Raven Ctr

Compared to

Maryland

Average

0.9 1% Above 13% Above

2.4 2% Below 3% Below

51% 15% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.0%

15.3%

27.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Loch Raven Ctr

Maryland

Nation

154

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.4% 18.2% 15.6%

Percent of residents who were physically

restrained1.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

90.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLoch Raven Ctr Maryland Average

30.2

39.4

32.9

28.9

33.0

25.4

29.4

24.6

23.7

32.3

24.8

15.1

19.6

20.4

26.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ CC

4) Degenerative Nervous SystemDisorders w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Rehabilitation w/ CC/MCC

Loch Raven Ctr

Maryland

Nation

$502 $487

$300

$400

$500

$600

Loch Raven Ctr Maryland

Loch Raven Ctr Avg Payment Per Day

$10,312

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Loch Raven Ctr Maryland

Loch Raven Ctr Avg Payment Per Stay

155

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County Name:

Facility: Lorien Mays Chapel

12230 Round Wood Road Number of Beds: 93Timonium, MD Source: CMS Nursing Home Compare, data as of 4/2015

21093 Lorien Mays Chapel ALOS: 21.5(410) 252-0880 Maryland Average ALOS: 24.3

Provider Number: 215351 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Mays Chapel

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Mays Chapel

Compared to

Maryland

Average

0.6 35% Below 27% Below

2.0 17% Below 18% Below

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.3%

11.2%

17.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Mays Chapel

Maryland

Nation

156

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers14.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine87.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Mays Chapel Maryland Average

23.8

29.7

52.6

28.9

35.3

22.3

23.7

32.7

23.7

20.5

19.2

21.1

37.0

17.1

17.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Mays Chapel

Maryland

Nation

$476 $487

$300

$400

$500

$600

Lorien Mays Chapel Maryland

Lorien Mays Chapel Avg Payment Per Day

$10,223

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lorien Mays Chapel Maryland

Lorien Mays Chapel Avg Payment Per Stay

157

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County Name:

Facility: ManorCare - Dulaney

111 West Road Number of Beds: 135Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21204 ManorCare - Dulaney ALOS: 24.4(410) 828-6500 Maryland Average ALOS: 24.3

Provider Number: 215069 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Dulaney

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Dulaney

Compared to

Maryland

Average

0.8 9% Below 2% Above

2.0 17% Below 18% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.6%

18.1%

32.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Dulaney

Maryland

Nation

158

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain9.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Dulaney Maryland Average

30.1

28.9

24.2

29.7

24.6

24.0

23.7

20.3

23.7

23.0

14.0

23.2

31.4

21.6

33.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Other Vascular Procedures w/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Other Circulatory SystemDiagnoses w/ MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Heart Failure & Shock w/ MCC

ManorCare - Dulaney

Maryland

Nation

$498 $487

$300

$400

$500

$600

ManorCare - Dulaney Maryland

ManorCare - Dulaney Avg Payment Per Day

$12,163 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Dulaney Maryland

ManorCare - Dulaney Avg Payment Per Stay

159

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County Name:

Facility: ManorCare - Rossville

6600 Ridge Road Number of Beds: 172Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21237 ManorCare - Rossville ALOS: 24.2(410) 574-4950 Maryland Average ALOS: 24.3

Provider Number: 215109 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Rossville

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Rossville

Compared to

Maryland

Average

0.7 20% Below 10% Below

2.0 15% Below 17% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.2%

15.9%

25.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Rossville

Maryland

Nation

160

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Rossville Maryland Average

30.2

33.0

32.9

24.6

28.9

25.4

32.3

24.6

23.0

23.7

37.3

33.8

21.2

22.6

18.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Renal Failure w/ CC

4) Rehabilitation w/ CC/MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Heart Failure & Shock w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - Rossville

Maryland

Nation

$453 $487

$300

$400

$500

$600

ManorCare - Rossville Maryland

ManorCare - Rossville Avg Payment Per Day

$10,954 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Rossville Maryland

ManorCare - Rossville Avg Payment Per Stay

161

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County Name:

Facility: ManorCare - Ruxton

7001 Charles Street Number of Beds: 179Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21204 ManorCare - Ruxton ALOS: 24.7(410) 821-9600 Maryland Average ALOS: 24.3

Provider Number: 215077 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Ruxton

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Ruxton

Compared to

Maryland

Average

1.0 2% Above 14% Above

1.8 26% Below 27% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.3%

12.1%

20.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Ruxton

Maryland

Nation

162

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Ruxton Maryland Average

29.7

39.4

23.8

33.0

28.9

23.7

29.4

22.3

32.3

23.7

28.2

26.0

32.9

24.7

30.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Degenerative Nervous SystemDisorders w/o MCC

3) Heart Failure & Shock w/ CC

2) Rehabilitation w/ CC/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - Ruxton

Maryland

Nation

$489 $487

$300

$400

$500

$600

ManorCare - Ruxton Maryland

ManorCare - Ruxton Avg Payment Per Day

$12,093 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Ruxton Maryland

ManorCare - Ruxton Avg Payment Per Stay

163

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County Name:

Facility: ManorCare - Woodbridge Valley

1525 North Rolling Road Number of Beds: 120Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 ManorCare - Woodbridge Valley ALOS: 27.3(410) 719-1240 Maryland Average ALOS: 24.3

Provider Number: 215347 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Woodbridge

Valley

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Woodbridge Valley

Compared to

Maryland

Average

1.5 59% Above 78% Above

2.2 7% Below 8% Below

29% 52% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.3%

14.3%

30.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

ManorCare -Woodbridge Valley

Maryland

Nation

164

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Woodbridge Valley Maryland Average

29.7

30.8

35.3

32.9

33.0

23.7

24.8

20.5

24.6

32.3

22.3

27.2

24.7

39.9

36.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Rehabilitation w/ CC/MCC

ManorCare - WoodbridgeValley

Maryland

Nation

$512 $487

$300

$400

$500

$600

ManorCare - WoodbridgeValley

Maryland

ManorCare - Woodbridge Valley Avg Payment Per Day

$13,983

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - WoodbridgeValley

Maryland

ManorCare - Woodbridge Valley Avg Payment Per Stay

165

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County Name:

Facility: ManorCare - Towson

509 East Joppa Road Number of Beds: 127Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21286 ManorCare - Towson ALOS: 18.4(410) 828-9494 Maryland Average ALOS: 24.3

Provider Number: 215054 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Towson

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Towson

Compared to

Maryland

Average

1.1 13% Above 26% Above

1.8 26% Below 27% Below

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.8%

16.2%

26.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Towson

Maryland

Nation

166

Page 167: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

89.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Towson Maryland Average

28.9

32.9

30.8

35.3

23.8

23.7

24.6

24.8

20.5

22.3

15.9

25.3

21.3

14.9

16.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Heart Failure & Shock w/ CC

ManorCare - Towson

Maryland

Nation

$516 $487

$300

$400

$500

$600

ManorCare - Towson Maryland

ManorCare - Towson Avg Payment Per Day

$9,527

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

ManorCare - Towson Maryland

ManorCare - Towson Avg Payment Per Stay

167

Page 168: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Maria Health Care Ctr

6401 N. Charles Street Number of Beds: 32Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21212 Maria Health Care Ctr ALOS: 28.9(410) 377-7774 Maryland Average ALOS: 24.3

Provider Number: 215300 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Maria Health Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Maria Health Care Ctr

Compared to

Maryland

Average

1.2 26% Above 41% Above

4.2 75% Above 73% Above

64% 7% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Maria Health Care Ctr

Maryland

Nation

168

Page 169: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury10.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMaria Health Care Ctr Maryland Average

42.1

52.6

30.2

38.4

35.3

26.5

32.7

24.1

27.8

20.5

23.0

26.0

18.5

31.5

31.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Joint & Limb ReattachmentProcedure of Upper Extremity w/

CC/MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Syncope & Collapse

2) Intracranial Hemorrhage orCerebral Infarction w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Maria Health Care Ctr

Maryland

Nation

$401

$487

$300

$400

$500

$600

Maria Health Care Ctr Maryland

Maria Health Care Ctr Avg Payment Per Day

$11,578 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Maria Health Care Ctr Maryland

Maria Health Care Ctr Avg Payment Per Stay

169

Page 170: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Mid-Atlantic of Chapel Hill

4511 Robosson Road Number of Beds: 63Randallstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21133 Mid-Atlantic of Chapel Hill ALOS: 28.1(410) 922-2443 Maryland Average ALOS: 24.3

Provider Number: 215220 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Mid-Atlantic of Chapel Hill

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Mid-Atlantic of Chapel Hill

Compared to

Maryland

Average

0.8 19% Below 9% Below

2.0 18% Below 19% Below

93% 55% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

14.6%

29.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Mid-Atlantic of ChapelHill

Maryland

Nation

170

Page 171: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder6.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased24.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMid-Atlantic of Chapel Hill Maryland Average

21.4

25.6

31.3

39.4

30.7

19.1

35.7

24.3

29.4

24.5

16.7

24.3

32.0

36.8

39.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Disorders of Liver Except Malig,Cirrhosis, ALC Hepatitis w/ CC

4) Psychoses

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Degenerative Nervous SystemDisorders w/o MCC

1) Respiratory Infections &Inflammations w/ CC

Mid-Atlantic of ChapelHill

Maryland

Nation

$514 $487

$300

$400

$500

$600

Mid-Atlantic of Chapel Hill Maryland

Mid-Atlantic of Chapel Hill Avg Payment Per Day

$14,421

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Mid-Atlantic of Chapel Hill Maryland

Mid-Atlantic of Chapel Hill Avg Payment Per Stay

171

Page 172: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Milford Manor Nursing Home

4204 Old Milford Mill Road Number of Beds: 100Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21208 Milford Manor Nursing Home ALOS: 27.2(410) 486-1500 Maryland Average ALOS: 24.3

Provider Number: 215022 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Milford Manor Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Milford Manor Nursing Home

Compared to

Maryland

Average

0.6 40% Below 32% Below

2.4 2% Below 3% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

15.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Milford Manor NursingHome

Maryland

Nation

172

Page 173: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased3.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMilford Manor Nursing Home Maryland Average

30.7

41.9

31.3

32.9

28.9

24.5

30.2

24.3

24.6

23.7

18.0

11.0

29.0

30.3

30.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Respiratory Infections &Inflammations w/ CC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Milford Manor NursingHome

Maryland

Nation

$481 $487

$300

$400

$500

$600

Milford Manor NursingHome

Maryland

Milford Manor Nursing Home Avg Payment Per Day

$13,085 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Milford Manor NursingHome

Maryland

Milford Manor Nursing Home Avg Payment Per Stay

173

Page 174: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Multi-Medical Ctr

7700 York Road Number of Beds: 118Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21204 Multi-Medical Ctr ALOS: 29.1(410) 821-5500 Maryland Average ALOS: 24.3

Provider Number: 215096 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Multi-Medical Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Multi-Medical Ctr

Compared to

Maryland

Average

1.4 54% Above 72% Above

2.2 8% Below 9% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.9%

10.2%

20.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Multi-Medical Ctr

Maryland

Nation

174

Page 175: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.1% 18.2% 15.6%

Percent of residents who were physically

restrained1.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMulti-Medical Ctr Maryland Average

32.9

23.8

30.2

35.3

28.9

24.6

22.3

25.4

20.5

23.7

24.4

14.7

33.8

26.6

30.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Heart Failure & Shock w/ CC

3) Renal Failure w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Multi-Medical Ctr

Maryland

Nation

$518 $487

$300

$400

$500

$600

Multi-Medical Ctr Maryland

Multi-Medical Ctr Avg Payment Per Day

$15,106

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Multi-Medical Ctr Maryland

Multi-Medical Ctr Avg Payment Per Stay

175

Page 176: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: North Oaks

725 Mount Wilson Lane Number of Beds: 37Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21208 North Oaks ALOS: 18.7(410) 484-7300 Maryland Average ALOS: 24.3

Provider Number: 215229 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

North Oaks

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

North Oaks

Compared to

Maryland

Average

0.7 20% Below 10% Below

2.4 1% Below 2% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

26.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

North Oaks

Maryland

Nation

176

Page 177: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNorth Oaks Maryland Average

31.3

21.6

25.8

41.9

29.7

24.3

17.9

25.3

30.2

23.7

10.0

26.5

9.0

8.0

33.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) MajorHematological/Immunological

Diagnoses Except Sickle Cell Crisis& Coagulation w/ CC

3) Esophagitis, Gastroenteritis &Miscellaneous Digestive Disorders

w/o MCC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Simple Pneumonia & Pleurisy w/CC

North Oaks Maryland

Nation

$457 $487

$300

$400

$500

$600

North Oaks Maryland

North Oaks Avg Payment Per Day

$8,547

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

North Oaks Maryland

North Oaks Avg Payment Per Stay

177

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County Name:

Facility: Northwest Hosp Ctr Subacute Unit

5401 Old Court Road Number of Beds: 39Randallstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21133 Northwest Hosp Ctr Subacute Unit ALOS: 11.2(410) 521-2200 Maryland Average ALOS: 24.3

Provider Number: 215291 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Northwest Hosp Ctr Subacute

Unit

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Northwest Hosp Ctr Subacute

Unit

Compared to

Maryland

Average

3.6 281% Above 327% Above

2.8 18% Above 16% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.7%

12.9%

23.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Northwest Hosp CtrSubacute Unit

Maryland

Nation

178

Page 179: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNorthwest Hosp Ctr Subacute Unit Maryland Average

29.7

39.4

52.6

32.9

35.3

23.7

25.0

32.7

24.6

20.5

12.3

9.4

12.7

10.0

12.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Simple Pneumonia & Pleurisy w/CC

4) Medical Back Problems w/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Northwest Hosp CtrSubacute Unit

Maryland

Nation

$531 $487

$300

$400

$500

$600

Northwest Hosp CtrSubacute Unit

Maryland

Northwest Hosp Ctr Subacute Unit Avg Payment Per Day

$5,918

$11,840

$5,000

$7,000

$9,000

$11,000

$13,000

Northwest Hosp CtrSubacute Unit

Maryland

Northwest Hosp Ctr Subacute Unit Avg Payment Per Stay

179

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County Name:

Facility: Oak Crest Village

8800 Walther Boulevard Number of Beds: 240Parkville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21234 Oak Crest Village ALOS: 22.1(410) 882-3248 Maryland Average ALOS: 24.3

Provider Number: 215308 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Oak Crest Village

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Oak Crest Village

Compared to

Maryland

Average

0.6 32% Below 24% Below

2.8 16% Above 15% Above

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.4%

7.9%

13.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Oak Crest Village

Maryland

Nation

180

Page 181: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine80.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageOak Crest Village Maryland Average

30.2

28.9

32.9

52.6

35.3

24.1

23.7

24.6

32.7

20.5

17.5

21.8

19.2

40.9

20.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Syncope & Collapse

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Oak Crest Village

Maryland

Nation

$486 $487

$300

$400

$500

$600

Oak Crest Village Maryland

Oak Crest Village Avg Payment Per Day

$10,734 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Oak Crest Village Maryland

Oak Crest Village Avg Payment Per Stay

181

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County Name:

Facility: Oakwood Care Ctr

1300 Windlass Drive Number of Beds: 130Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21220 Oakwood Care Ctr ALOS: 27.4(410) 687-1383 Maryland Average ALOS: 24.3

Provider Number: 215181 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Oakwood Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Oakwood Care Ctr

Compared to

Maryland

Average

1.3 34% Above 50% Above

2.5 5% Above 3% Above

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.6%

15.1%

28.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Oakwood Care Ctr

Maryland

Nation

182

Page 183: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased21.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageOakwood Care Ctr Maryland Average

35.3

31.3

30.2

23.8

28.9

20.5

24.3

25.4

22.3

23.7

29.3

25.4

37.3

28.2

22.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Renal Failure w/ CC

2) Heart Failure & Shock w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Oakwood Care Ctr

Maryland

Nation

$498 $487

$300

$400

$500

$600

Oakwood Care Ctr Maryland

Oakwood Care Ctr Avg Payment Per Day

$13,626

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Oakwood Care Ctr Maryland

Oakwood Care Ctr Avg Payment Per Stay

183

Page 184: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Patapsco Valley Ctr

9109 Liberty Road Number of Beds: 172Randallstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21133 Patapsco Valley Ctr ALOS: 28.4(410) 655-7373 Maryland Average ALOS: 24.3

Provider Number: 215084 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Patapsco Valley Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Patapsco Valley Ctr

Compared to

Maryland

Average

0.9 2% Below 10% Above

2.1 13% Below 15% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

11.2%

20.6%

34.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Patapsco Valley Ctr

Maryland

Nation

184

Page 185: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine84.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePatapsco Valley Ctr Maryland Average

26.2

30.1

24.2

29.3

28.9

22.2

24.0

20.3

25.7

23.7

34.0

32.0

25.3

30.8

32.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Red Blood Cell Disorders w/MCC

4) Other Vascular Procedures w/MCC

3) Other Circulatory SystemDiagnoses w/ MCC

2) Renal Failure w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Patapsco Valley Ctr

Maryland

Nation

$487 $487

$300

$400

$500

$600

Patapsco Valley Ctr Maryland

Patapsco Valley Ctr Avg Payment Per Day

$13,816

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Patapsco Valley Ctr Maryland

Patapsco Valley Ctr Avg Payment Per Stay

185

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County Name:

Facility: Perring Parkway Ctr

1801 Wentworth Road Number of Beds: 125Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21234 Perring Parkway Ctr ALOS: 23.4(410) 661-5717 Maryland Average ALOS: 24.3

Provider Number: 215081 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Perring Parkway Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Perring Parkway Ctr

Compared to

Maryland

Average

0.9 8% Below 3% Above

1.9 21% Below 22% Below

48% 20% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.1%

12.4%

25.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Perring Parkway Ctr

Maryland

Nation

186

Page 187: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePerring Parkway Ctr Maryland Average

29.0

30.2

30.8

31.3

28.9

22.9

25.4

24.8

24.3

23.7

30.3

33.8

30.4

12.7

21.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Respiratory Infections &Inflammations w/ MCC

4) Renal Failure w/ CC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Perring Parkway Ctr

Maryland

Nation

$500 $487

$300

$400

$500

$600

Perring Parkway Ctr Maryland

Perring Parkway Ctr Avg Payment Per Day

$11,728 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Perring Parkway Ctr Maryland

Perring Parkway Ctr Avg Payment Per Stay

187

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County Name:

Facility: Pickersgill Retirement Community

615 Chestnut Ave Number of Beds: 43Towson, MD Source: CMS Nursing Home Compare, data as of 4/2015

21204 Pickersgill Retirement Community ALOS: 30.1(410) 825-7423 Maryland Average ALOS: 24.3

Provider Number: 215259 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Pickersgill Retirement

Community

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Pickersgill Retirement

Community

Compared to

Maryland

Average

0.6 35% Below 27% Below

2.6 7% Above 6% Above

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Pickersgill RetirementCommunity

Maryland

Nation

188

Page 189: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

62.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine1.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePickersgill Retirement Community Maryland Average

28.9

29.8

52.6

35.3

23.8

23.7

26.7

32.7

20.5

22.3

14.5

30.0

28.5

50.5

22.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Cellulitis w/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Heart Failure & Shock w/ CC

Pickersgill RetirementCommunity

Maryland

Nation

$499 $487

$300

$400

$500

$600

Pickersgill RetirementCommunity

Maryland

Pickersgill Retirement Community Avg Payment Per Day

$14,990

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Pickersgill RetirementCommunity

Maryland

Pickersgill Retirement Community Avg Payment Per Stay

189

Page 190: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Powerback Rehab

515 Brightfield Road Number of Beds: 110Lutherville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21093 Powerback Rehab ALOS: 21.5(410) 296-1990 Maryland Average ALOS: 24.3

Provider Number: 215226 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Powerback Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Powerback Rehab

Compared to

Maryland

Average

1.6 76% Above 98% Above

2.1 11% Below 13% Below

54% 10% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

12.1%

22.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Powerback Rehab

Maryland

Nation

190

Page 191: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePowerback Rehab Maryland Average

23.8

28.9

33.0

52.6

35.3

22.3

23.7

32.3

32.7

20.5

16.5

23.0

31.1

21.3

17.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Rehabilitation w/ CC/MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Powerback Rehab

Maryland

Nation

$509 $487

$300

$400

$500

$600

Powerback Rehab Maryland

Powerback Rehab Avg Payment Per Day

$10,960 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Powerback Rehab Maryland

Powerback Rehab Avg Payment Per Stay

191

Page 192: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Ridgeway Manor Nursing & Rehab Ctr

5743 Edmondson Avenue Number of Beds: 61Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Ridgeway Manor Nursing & Rehab Ctr ALOS: 19.2(410) 747-5250 Maryland Average ALOS: 24.3

Provider Number: 215227 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Ridgeway Manor Nursing &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Ridgeway Manor Nursing &

Rehab Ctr

Compared to

Maryland

Average

0.4 59% Below 54% Below

2.5 4% Above 2% Above

54% 10% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

17.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Ridgeway ManorNursing & Rehab Ctr

Maryland

Nation

192

Page 193: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.4% 18.2% 15.6%

Percent of residents who were physically

restrained3.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRidgeway Manor Nursing & Rehab Ctr Maryland Average

43.7

41.8

32.9

30.2

28.9

29.0

24.0

24.6

25.4

23.7

22.0

19.7

12.8

8.3

6.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Fractures of Hip & Pelvis w/oMCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Renal Failure w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Ridgeway Manor Nursing &Rehab Ctr

Maryland

Nation

$375

$487

$300

$400

$500

$600

Ridgeway Manor Nursing& Rehab Ctr

Maryland

Ridgeway Manor Nursing & Rehab Ctr Avg Payment Per Day

$7,214

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Ridgeway Manor Nursing& Rehab Ctr

Maryland

Ridgeway Manor Nursing & Rehab Ctr Avg Payment Per Stay

193

Page 194: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Riverview Rehab & Health Ctr

1 Eastern Boulevard Number of Beds: 238Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21221 Riverview Rehab & Health Ctr ALOS: 37.0(410) 574-1400 Maryland Average ALOS: 24.3

Provider Number: 215203 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Riverview Rehab & Health Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Riverview Rehab & Health Ctr

Compared to

Maryland

Average

0.5 47% Below 41% Below

2.1 12% Below 14% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.2%

10.9%

17.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Riverview Rehab &Health Ctr

Maryland

Nation

194

Page 195: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain14.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

83.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine82.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRiverview Rehab & Health Ctr Maryland Average

30.2

32.9

39.4

35.3

28.9

25.4

24.6

29.4

20.5

23.7

44.0

26.1

48.5

46.7

24.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Degenerative Nervous SystemDisorders w/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Riverview Rehab & HealthCtr

Maryland

Nation

$508 $487

$300

$400

$500

$600

Riverview Rehab & HealthCtr

Maryland

Riverview Rehab & Health Ctr Avg Payment Per Day

$18,811

$11,840

$10,000 $12,000 $14,000 $16,000 $18,000 $20,000

Riverview Rehab & HealthCtr

Maryland

Riverview Rehab & Health Ctr Avg Payment Per Stay

195

Page 196: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Stella Maris

2300 Dulaney Valley Rd Number of Beds: 448Timonium, MD Source: CMS Nursing Home Compare, data as of 4/2015

21093 Stella Maris ALOS: 22.3(410) 252-4500 Maryland Average ALOS: 24.3

Provider Number: 215117 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Stella Maris

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Stella Maris

Compared to

Maryland

Average

1.2 32% Above 48% Above

3.8 56% Above 53% Above

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.9%

8.4%

15.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Stella Maris

Maryland

Nation

196

Page 197: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageStella Maris Maryland Average

30.2

52.6

33.0

28.9

35.3

25.4

32.7

32.3

23.7

20.5

17.1

27.2

36.1

17.3

14.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Rehabilitation w/ CC/MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Stella Maris

Maryland

Nation

$451 $487

$300

$400

$500

$600

Stella Maris Maryland

Stella Maris Avg Payment Per Day

$10,073

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Stella Maris Maryland

Stella Maris Avg Payment Per Stay

197

Page 198: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Summit Park Health & Rehab Ctr

1502 Frederick Road Number of Beds: 143Catonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21228 Summit Park Health & Rehab Ctr ALOS: 21.9(410) 747-3287 Maryland Average ALOS: 24.3

Provider Number: 215326 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Summit Park Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Summit Park Health & Rehab Ctr

Compared to

Maryland

Average

0.7 25% Below 16% Below

1.9 22% Below 23% Below

65% 8% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

12.5%

26.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Summit Park Health &Rehab Ctr

Maryland

Nation

198

Page 199: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers12.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSummit Park Health & Rehab Ctr Maryland Average

29.8

31.3

28.9

29.7

32.9

26.7

24.3

23.7

23.7

24.6

17.0

19.8

19.3

16.6

25.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Cellulitis w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Kidney & Urinary Tract Infectionsw/o MCC

Summit Park Health& Rehab Ctr

Maryland

Nation

$451 $487

$300

$400

$500

$600

Summit Park Health &Rehab Ctr

Maryland

Summit Park Health & Rehab Ctr Avg Payment Per Day

$9,876

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Summit Park Health &Rehab Ctr

Maryland

Summit Park Health & Rehab Ctr Avg Payment Per Stay

199

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County Name:

Facility: The Villa

6806 Bellona Avenue Number of Beds: 30Baltimore, MD Source: CMS Nursing Home Compare, data as of 4/2015

21212 The Villa ALOS: 42.5(410) 377-2450 Maryland Average ALOS: 24.3

Provider Number: 215296 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

The Villa

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

The Villa

Compared to

Maryland

Average

0.4 52% Below 46% Below

3.0 22% Above 21% Above

41% 32% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Baltimore County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

The Villa

Maryland

Nation

200

Page 201: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased4.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine82.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageThe Villa Maryland Average

38.5

24.6

21.9

33.4

39.1

31.2

23.0

21.2

29.2

28.6

76.0

25.0

13.0

49.0

42.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0

5) Other Musculoskeletal System &Connective Tissue O.R. Procedure

w/ CC

4) Heart Failure & Shock w/ MCC

3) Chronic Obstructive PulmonaryDisease w/ MCC

2) Multiple Sclerosis & CerebellarAtaxia w/o CC/MCC

1) Peripheral/Cranial Nerve & OtherNervous System Procedure w/ MCC

The Villa Maryland

Nation

$407

$487

$300

$400

$500

$600

The Villa Maryland

The Villa Avg Payment Per Day

$17,295

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

The Villa Maryland

The Villa Avg Payment Per Stay

201

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County Name:

Facility: Asbury Solomons Island

11750 Asbury Circle Number of Beds: 48Solomons, MD Source: CMS Nursing Home Compare, data as of 4/2015

20688 Asbury Solomons Island ALOS: 28.9(410) 394-3000 Maryland Average ALOS: 24.3

Provider Number: 215304 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Asbury Solomons Island

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Asbury Solomons Island

Compared to

Maryland

Average

0.9 7% Below 4% Above

3.0 24% Above 22% Above

84% 40% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Calvert County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

14.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Asbury SolomonsIsland

Maryland

Nation

202

Page 203: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

82.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAsbury Solomons Island Maryland Average

22.4

29.7

28.9

23.8

35.3

22.3

23.7

23.7

22.3

20.5

10.7

23.2

30.0

24.5

17.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Pulmonary Edema & RespiratoryFailure

4) Simple Pneumonia & Pleurisy w/CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Heart Failure & Shock w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Asbury Solomons Island

Maryland

Nation

$507 $487

$300

$400

$500

$600

Asbury Solomons Island Maryland

Asbury Solomons Island Avg Payment Per Day

$14,661

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Asbury Solomons Island Maryland

Asbury Solomons Island Avg Payment Per Stay

203

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County Name:

Facility: Calvert County Nursing Ctr

85 Hospital Road Number of Beds: 149Prince Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015

20678 Calvert County Nursing Ctr ALOS: 27.8(410) 535-2300 Maryland Average ALOS: 24.3

Provider Number: 215188 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Calvert County Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Calvert County Nursing Ctr

Compared to

Maryland

Average

0.7 30% Below 21% Below

2.6 9% Above 7% Above

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Calvert County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.3%

9.3%

13.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Calvert CountyNursing Ctr

Maryland

Nation

204

Page 205: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain16.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased30.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCalvert County Nursing Ctr Maryland Average

32.9

35.3

29.7

28.9

52.6

24.6

20.5

23.7

23.7

32.7

27.5

26.7

24.6

26.4

30.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Calvert County Nursing Ctr

Maryland

Nation

$506 $487

$300

$400

$500

$600

Calvert County NursingCtr

Maryland

Calvert County Nursing Ctr Avg Payment Per Day

$14,036

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Calvert County NursingCtr

Maryland

Calvert County Nursing Ctr Avg Payment Per Stay

205

Page 206: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Calvert Memorial Hospital Transitional Care Unit

100 Hospital Road Number of Beds: 5Prince Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015 1820678 Calvert Memorial Hospital Transitional Care Unit ALOS:

(410) 535-4000 Maryland Average ALOS: 13.9Provider Number: 215289 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Calvert Memorial Hospital

Transitional Care Unit

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Calvert Memorial Hospital

Transitional Care Unit

Compared to

Maryland

Average

3.5 280% Above 326% Above

2.2 9% Below 10% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Calvert County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.0%

16.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Calvert MemorialHospital TransitionalCare Unit

Maryland

Nation

206

Page 207: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCalvert Memorial Hospital Transitional Care Unit Maryland Average

29.7

41.9

28.9

35.3

21.9

23.7

30.2

23.7

20.5

21.2

14.1

15.6

13.5

12.1

14.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Chronic Obstructive PulmonaryDisease w/ MCC

Calvert Memorial HospitalTransitional Care Unit

Maryland

Nation

$383

$487

$300

$400

$500

$600

Calvert Memorial HospitalTransitional Care Unit

Maryland

Calvert Memorial Hospital Transitional Care Unit Avg Payment Per Day

$5,311

$11,840

$4,000 $6,000 $8,000

$10,000 $12,000

Calvert Memorial HospitalTransitional Care Unit

Maryland

Calvert Memorial Hospital Transitional Care Unit Avg Payment Per Stay

207

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County Name:

Facility: Solomons Nursing Ctr

13325 Dowell Rd, P.O. Box 1509 Number of Beds: 87Solomons, MD Source: CMS Nursing Home Compare, data as of 4/2015

20688 Solomons Nursing Ctr ALOS: 15.2(410) 326-0077 Maryland Average ALOS: 24.3

Provider Number: 215270 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Solomons Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Solomons Nursing Ctr

Compared to

Maryland

Average

0.9 8% Below 3% Above

2.5 5% Above 3% Above

76% 27% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Calvert County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.7%

12.0%

19.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Solomons Nursing Ctr

Maryland

Nation

208

Page 209: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSolomons Nursing Ctr Maryland Average

30.7

28.9

23.8

29.7

35.3

24.5

23.7

22.3

23.7

20.5

16.9

15.0

11.3

19.9

11.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Respiratory Infections &Inflammations w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Heart Failure & Shock w/ CC

2) Simple Pneumonia & Pleurisy w/CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Solomons Nursing Ctr

Maryland

Nation

$495 $487

$300

$400

$500

$600

Solomons Nursing Ctr Maryland

Solomons Nursing Ctr Avg Payment Per Day

$7,544

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Solomons Nursing Ctr Maryland

Solomons Nursing Ctr Avg Payment Per Stay

209

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County Name:

Facility: Caroline Nursing Home

520 Kerr Avenue Number of Beds: 87Denton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21629 Caroline Nursing Home ALOS: 24.9(410) 479-2130 Maryland Average ALOS: 24.3

Provider Number: 215083 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Caroline Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Caroline Nursing Home

Compared to

Maryland

Average

1.0 6% Above 19% Above

2.9 19% Above 17% Above

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Caroline County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

11.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Caroline NursingHome

Maryland

Nation

210

Page 211: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased20.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCaroline Nursing Home Maryland Average

35.3

30.7

41.9

33.0

32.9

20.5

24.5

30.2

32.3

24.6

24.2

25.8

27.0

34.9

23.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Respiratory Infections &Inflammations w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Rehabilitation w/ CC/MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Caroline Nursing Home

Maryland

Nation

$462 $487

$300

$400

$500

$600

Caroline Nursing Home Maryland

Caroline Nursing Home Avg Payment Per Day

$11,494 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Caroline Nursing Home Maryland

Caroline Nursing Home Avg Payment Per Stay

211

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County Name:

Facility: Envoy of Denton

420 Colonial Dr Number of Beds: 100Denton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21629 Envoy of Denton ALOS: 25.8(410) 479-4400 Maryland Average ALOS: 24.3

Provider Number: 215149 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Envoy of Denton

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Envoy of Denton

Compared to

Maryland

Average

0.7 29% Below 21% Below

2.0 16% Below 17% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Caroline County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.3%

8.9%

16.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Envoy of Denton

Maryland

Nation

212

Page 213: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.8% 18.2% 15.6%

Percent of residents who were physically

restrained2.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine60.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageEnvoy of Denton Maryland Average

39.4

35.3

24.6

30.8

32.9

29.4

20.5

23.0

24.8

24.6

22.5

39.7

14.1

28.0

24.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Degenerative Nervous SystemDisorders w/o MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Heart Failure & Shock w/ MCC

2) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Envoy of Denton

Maryland

Nation

$456 $487

$300

$400

$500

$600

Envoy of Denton Maryland

Envoy of Denton Avg Payment Per Day

$11,769 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Envoy of Denton Maryland

Envoy of Denton Avg Payment Per Stay

213

Page 214: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Brinton Woods Nursing & Rehab Ctr

1442 Buckhorn Road Number of Beds: 60Sykesville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21784 Brinton Woods Nursing & Rehab Ctr ALOS: 24.4(410) 795-2737 Maryland Average ALOS: 24.3

Provider Number: 215247 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Brinton Woods Nursing &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Brinton Woods Nursing & Rehab

Ctr

Compared to

Maryland

Average

0.6 40% Below 33% Below

2.7 12% Above 10% Above

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

11.8%

21.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Brinton WoodsNursing & Rehab Ctr

Maryland

Nation

214

Page 215: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers0.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBrinton Woods Nursing & Rehab Ctr Maryland Average

23.8

30.0

32.9

52.6

24.6

22.3

24.7

24.6

32.7

23.0

29.6

12.6

25.0

29.9

27.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ CC

4) Transient Ischemia

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Heart Failure & Shock w/ MCC

Brinton Woods Nursing &Rehab Ctr

Maryland

Nation

$501 $487

$300

$400

$500

$600

Brinton Woods Nursing &Rehab Ctr

Maryland

Brinton Woods Nursing & Rehab Ctr Avg Payment Per Day

$12,224 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Brinton Woods Nursing &Rehab Ctr

Maryland

Brinton Woods Nursing & Rehab Ctr Avg Payment Per Stay

215

Page 216: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Carroll Lutheran Village

200 St. Luke's Circle Number of Beds: 103Westminster, MD Source: CMS Nursing Home Compare, data as of 4/2015

21157 Carroll Lutheran Village ALOS: 23.5(410) 848-0225 Maryland Average ALOS: 24.3

Provider Number: 215133 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Carroll Lutheran Village

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Carroll Lutheran Village

Compared to

Maryland

Average

0.8 15% Below 4% Below

2.6 8% Above 7% Above

64% 7% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.0%

12.6%

20.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Carroll LutheranVillage

Maryland

Nation

216

Page 217: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine88.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCarroll Lutheran Village Maryland Average

28.9

23.8

32.9

52.6

35.3

23.7

22.3

24.6

32.7

20.5

20.7

21.0

18.9

26.5

29.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Heart Failure & Shock w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Carroll Lutheran Village

Maryland

Nation

$392

$487

$300

$400

$500

$600

Carroll Lutheran Village Maryland

Carroll Lutheran Village Avg Payment Per Day

$9,209

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

Carroll Lutheran Village Maryland

Carroll Lutheran Village Avg Payment Per Stay

217

Page 218: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Copper Ridge

710 Obrecht Road Number of Beds: 66Sykesville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21784 Copper Ridge ALOS: 24.0(410) 795-8808 Maryland Average ALOS: 24.3

Provider Number: 215265 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Copper Ridge

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Copper Ridge

Compared to

Maryland

Average

0.7 30% Below 22% Below

3.4 39% Above 37% Above

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Copper Ridge

Maryland

Nation

218

Page 219: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

90.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCopper Ridge Maryland Average

27.7

39.4

37.8

52.6

32.9

24.3

29.4

25.4

32.7

24.6

43.0

40.5

27.5

19.0

21.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Gastrointestinal Disorders& Peritoneal Infections w/ CC

4) Degenerative Nervous SystemDisorders w/o MCC

3) Degenerative Nervous SystemDisorders w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Kidney & Urinary Tract Infectionsw/o MCC

Copper Ridge

Maryland

Nation

$536 $487

$300

$400

$500

$600

Copper Ridge Maryland

Copper Ridge Avg Payment Per Day

$12,875 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Copper Ridge Maryland

Copper Ridge Avg Payment Per Stay

219

Page 220: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Fairhaven

7200 Third Avenue Number of Beds: 79Sykesville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21784 Fairhaven ALOS: 29.5(410) 795-8800 Maryland Average ALOS: 24.3

Provider Number: 215130 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fairhaven

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fairhaven

Compared to

Maryland

Average

0.9 6% Below 5% Above

2.5 5% Above 3% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

10.2%

16.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fairhaven Maryland

Nation

220

Page 221: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury12.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

86.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine87.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFairhaven Maryland Average

24.6

30.7

28.9

35.3

52.6

23.0

24.5

23.7

20.5

32.7

41.2

45.2

16.9

24.6

43.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ MCC

4) Respiratory Infections &Inflammations w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Fairhaven Maryland

Nation

$504 $487

$300

$400

$500

$600

Fairhaven Maryland

Fairhaven Avg Payment Per Day

$14,858

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Fairhaven Maryland

Fairhaven Avg Payment Per Stay

221

Page 222: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Golden Living Ctr - Westminster

1234 Washington Boulevard Number of Beds: 170Westminster, MD Source: CMS Nursing Home Compare, data as of 4/2015

21157 Golden Living Ctr - Westminster ALOS: 21.2(410) 848-0700 Maryland Average ALOS: 24.3

Provider Number: 215094 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Golden Living Ctr -

Westminster

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Golden Living Ctr - Westminster

Compared to

Maryland

Average

0.6 35% Below 27% Below

2.0 16% Below 17% Below

75% 25% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.3%

7.1%

16.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Golden Living Ctr -Westminster

Maryland

Nation

222

Page 223: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain11.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

69.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGolden Living Ctr - Westminster Maryland Average

33.8

30.8

35.3

32.9

23.8

25.8

24.8

20.5

24.6

22.3

24.3

17.4

15.9

25.4

25.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Kidney & Urinary Tract Infectionsw/ MCC

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Heart Failure & Shock w/ CC

Golden Living Ctr -Westminster

Maryland

Nation

$470 $487

$300

$400

$500

$600

Golden Living Ctr -Westminster

Maryland

Golden Living Ctr - Westminster Avg Payment Per Day

$9,950

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Golden Living Ctr -Westminster

Maryland

Golden Living Ctr - Westminster Avg Payment Per Stay

223

Page 224: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Longview Nursing Home

3332 Main Street Number of Beds: 109Manchester, MD Source: CMS Nursing Home Compare, data as of 4/2015

21102 Longview Nursing Home ALOS: 23.7(410) 239-7139 Maryland Average ALOS: 24.3

Provider Number: 215017 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Longview Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Longview Nursing Home

Compared to

Maryland

Average

0.7 29% Below 21% Below

3.5 44% Above 42% Above

84% 40% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

11.2%

16.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Longview NursingHome

Maryland

Nation

224

Page 225: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased6.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLongview Nursing Home Maryland Average

43.7

52.6

28.9

32.9

35.3

29.0

32.7

23.7

24.6

20.5

37.6

27.3

16.9

18.8

22.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Fractures of Hip & Pelvis w/oMCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Longview Nursing Home

Maryland

Nation

$479 $487

$300

$400

$500

$600

Longview Nursing Home Maryland

Longview Nursing Home Avg Payment Per Day

$11,374 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Longview Nursing Home Maryland

Longview Nursing Home Avg Payment Per Stay

225

Page 226: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Lorien Health Systems Mt Airy

705 Midway Avenue Number of Beds: 62Mount Airy, MD Source: CMS Nursing Home Compare, data as of 4/2015

21771 Lorien Health Systems Mt Airy ALOS: 23.3(301) 829-6050 Maryland Average ALOS: 24.3

Provider Number: 215335 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Health Systems Mt Airy

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Health Systems Mt Airy

Compared to

Maryland

Average

1.4 49% Above 67% Above

2.8 17% Above 15% Above

64% 7% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.3%

11.8%

20.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Health SystemsMt Airy

Maryland

Nation

226

Page 227: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury7.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Health Systems Mt Airy Maryland Average

24.6

41.9

52.6

28.9

35.3

23.0

30.2

32.7

23.7

20.5

18.0

33.5

21.3

34.8

27.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Health SystemsMt Airy

Maryland

Nation

$522 $487

$300

$400

$500

$600

Lorien Health Systems MtAiry

Maryland

Lorien Health Systems Mt Airy Avg Payment Per Day

$12,134 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lorien Health Systems MtAiry

Maryland

Lorien Health Systems Mt Airy Avg Payment Per Stay

227

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County Name:

Facility: Lorien Taneytown

100 Antrim Blvd Number of Beds: 63Taneytown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21787 Lorien Taneytown ALOS: 23.0(410) 756-6400 Maryland Average ALOS: 24.3

Provider Number: 215348 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Taneytown

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Taneytown

Compared to

Maryland

Average

0.8 14% Below 4% Below

3.1 30% Above 28% Above

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.7%9.1%

19.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Taneytown

Maryland

Nation

228

Page 229: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder13.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Taneytown Maryland Average

43.7

52.6

23.8

32.9

35.3

29.0

32.7

22.3

24.6

20.5

22.8

30.0

24.7

25.7

23.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Fractures of Hip & Pelvis w/oMCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Heart Failure & Shock w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Taneytown

Maryland

Nation

$498 $487

$300

$400

$500

$600

Lorien Taneytown Maryland

Lorien Taneytown Avg Payment Per Day

$11,439 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lorien Taneytown Maryland

Lorien Taneytown Avg Payment Per Stay

229

Page 230: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Pleasant View Nursing Home

4101 Old National Pike Number of Beds: 104Mount Airy, MD Source: CMS Nursing Home Compare, data as of 4/2015

21771 Pleasant View Nursing Home ALOS: 16.0(301) 829-0800 Maryland Average ALOS: 24.3

Provider Number: 215268 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Pleasant View Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Pleasant View Nursing Home

Compared to

Maryland

Average

0.3 63% Below 59% Below

2.7 11% Above 9% Above

46% 23% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Pleasant View NursingHome

Maryland

Nation

230

Page 231: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased24.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePleasant View Nursing Home Maryland Average

42.8

33.4

35.9

52.6

29.0

34.2

29.2

30.1

32.7

22.9

5.0

13.0

21.0

18.0

18.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Acute Ischemic Stroke w/ Use ofThrombolytic Agent w/ MCC

4) Multiple Sclerosis & CerebellarAtaxia w/o CC/MCC

3) Multiple Sclerosis & CerebellarAtaxia w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Respiratory Infections &Inflammations w/ MCC

Pleasant View NursingHome

Maryland

Nation

$430

$487

$300

$400

$500

$600

Pleasant View NursingHome

Maryland

Pleasant View Nursing Home Avg Payment Per Day

$6,871

$11,840

$5,000

$7,000

$9,000

$11,000

$13,000

Pleasant View NursingHome

Maryland

Pleasant View Nursing Home Avg Payment Per Stay

231

Page 232: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Transitions Healthcare at Sykesville

7309 Second Avenue Number of Beds: 118Sykesville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21784 Transitions Healthcare at Sykesville ALOS: 22.4(410) 795-1100 Maryland Average ALOS: 24.3

Provider Number: 215136 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Transitions Healthcare at

Sykesville

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Transitions Healthcare at

Sykesville

Compared to

Maryland

Average

0.4 58% Below 53% Below

2.4 1% Below 3% Below

36% 40% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Carroll County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.3%

12.7%

20.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Transitions Healthcareat Sykesville

Maryland

Nation

232

Page 233: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased30.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageTransitions Healthcare at Sykesville Maryland Average

31.3

32.9

35.3

29.7

28.9

24.3

24.6

20.5

23.7

23.7

16.8

23.6

29.5

15.1

22.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Transitions Healthcare atSykesville

Maryland

Nation

$461 $487

$300

$400

$500

$600

Transitions Healthcare atSykesville

Maryland

Transitions Healthcare at Sykesville Avg Payment Per Day

$10,311

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Transitions Healthcare atSykesville

Maryland

Transitions Healthcare at Sykesville Avg Payment Per Stay

233

Page 234: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Calvert Manor Health Care Ctr

1881 Telegraph Road Number of Beds: 144Rising Sun, MD Source: CMS Nursing Home Compare, data as of 4/2015

21911 Calvert Manor Health Care Ctr ALOS: 19.6(410) 658-6555 Maryland Average ALOS: 24.3

Provider Number: 215189 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Calvert Manor Health Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Calvert Manor Health Care Ctr

Compared to

Maryland

Average

1.0 9% Above 22% Above

2.2 7% Below 8% Below

78% 30% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Cecil County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.7%

8.8%

13.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Calvert Manor HealthCare Ctr

Maryland

Nation

234

Page 235: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCalvert Manor Health Care Ctr Maryland Average

31.3

32.9

52.6

28.9

35.3

24.3

24.6

32.7

23.7

20.5

11.0

11.7

32.2

16.2

16.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Calvert Manor Health CareCtr

Maryland

Nation

$528 $487

$300

$400

$500

$600

Calvert Manor HealthCare Ctr

Maryland

Calvert Manor Health Care Ctr Avg Payment Per Day

$10,376

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Calvert Manor HealthCare Ctr

Maryland

Calvert Manor Health Care Ctr Avg Payment Per Stay

235

Page 236: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Elkton Ctr

One Price Drive Number of Beds: 177Elkton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21921 Elkton Ctr ALOS: 26.0(410) 398-6474 Maryland Average ALOS: 24.3

Provider Number: 215269 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Elkton Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Elkton Ctr

Compared to

Maryland

Average

0.9 6% Below 6% Above

1.6 32% Below 33% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Cecil County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.6%

18.1%

28.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Elkton Ctr Maryland

Nation

236

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased24.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageElkton Ctr Maryland Average

30.2

22.4

28.3

35.3

28.9

25.4

22.3

22.8

20.5

23.7

18.6

16.7

25.7

24.3

21.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Renal Failure w/ CC

4) Pulmonary Edema & RespiratoryFailure

3) Simple Pneumonia & Pleurisy w/MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Elkton Ctr

Maryland

Nation

$457 $487

$300

$400

$500

$600

Elkton Ctr Maryland

Elkton Ctr Avg Payment Per Day

$11,886 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Elkton Ctr Maryland

Elkton Ctr Avg Payment Per Stay

237

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County Name:

Facility: Laurelwood Care Ctr at Elkton

100 Laurel Drive Number of Beds: 100Elkton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21921 Laurelwood Care Ctr at Elkton ALOS: 25.4(410) 398-8800 Maryland Average ALOS: 24.3

Provider Number: 215111 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Laurelwood Care Ctr at Elkton

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Laurelwood Care Ctr at Elkton

Compared to

Maryland

Average

1.3 36% Above 52% Above

2.0 15% Below 17% Below

33% 45% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Cecil County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

11.4%

18.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Laurelwood Care Ctrat Elkton

Maryland

Nation

238

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain9.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

88.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine44.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLaurelwood Care Ctr at Elkton Maryland Average

28.3

28.9

30.2

35.3

22.4

22.8

23.7

25.4

20.5

22.3

11.8

25.4

20.6

18.8

12.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Simple Pneumonia & Pleurisy w/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Renal Failure w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Pulmonary Edema & RespiratoryFailure

Laurelwood Care Ctr atElkton

Maryland

Nation

$521 $487

$300

$400

$500

$600

Laurelwood Care Ctr atElkton

Maryland

Laurelwood Care Ctr at Elkton Avg Payment Per Day

$13,247

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Laurelwood Care Ctr atElkton

Maryland

Laurelwood Care Ctr at Elkton Avg Payment Per Stay

239

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County Name:

Facility: Charles County Nursing & Rehab Ctr

10200 Laplata Road Number of Beds: 165Laplata, MD Source: CMS Nursing Home Compare, data as of 4/2015

20646 Charles County Nursing & Rehab Ctr ALOS: 23.6(301) 934-1900 Maryland Average ALOS: 24.3

Provider Number: 215106 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Charles County Nursing &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Charles County Nursing & Rehab

Ctr

Compared to

Maryland

Average

0.7 27% Below 18% Below

2.3 7% Below 8% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Charles County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.1%

12.5%

23.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Charles CountyNursing & Rehab Ctr

Maryland

Nation

240

Page 241: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased32.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCharles County Nursing & Rehab Ctr Maryland Average

31.3

28.9

32.9

52.6

35.3

24.3

23.7

24.6

32.7

20.5

17.8

26.0

22.9

29.3

17.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Charles County Nursing &Rehab Ctr

Maryland

Nation

$487 $487

$300

$400

$500

$600

Charles County Nursing &Rehab Ctr

Maryland

Charles County Nursing & Rehab Ctr Avg Payment Per Day

$11,488 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Charles County Nursing &Rehab Ctr

Maryland

Charles County Nursing & Rehab Ctr Avg Payment Per Stay

241

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County Name:

Facility: La Plata Ctr

1 Magnolia Drive Number of Beds: 142Laplata, MD Source: CMS Nursing Home Compare, data as of 4/2015

20646 La Plata Ctr ALOS: 28.3(301) 870-3125 Maryland Average ALOS: 24.3

Provider Number: 215151 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

La Plata Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

La Plata Ctr

Compared to

Maryland

Average

0.5 51% Below 45% Below

1.9 21% Below 23% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Charles County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.0%

13.0%

22.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

La Plata Ctr

Maryland

Nation

242

Page 243: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased38.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLa Plata Ctr Maryland Average

30.8

32.9

41.9

35.3

28.9

24.8

24.6

30.2

20.5

23.7

35.3

42.6

49.0

28.1

18.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

La Plata Ctr

Maryland

Nation

$468 $487

$300

$400

$500

$600

La Plata Ctr Maryland

La Plata Ctr Avg Payment Per Day

$13,245

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

La Plata Ctr Maryland

La Plata Ctr Avg Payment Per Stay

243

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County Name:

Facility: Waldorf Ctr

4140 Old Washington Highway Number of Beds: 115Waldorf, MD Source: CMS Nursing Home Compare, data as of 4/2015

20602 Waldorf Ctr ALOS: 25.3(301) 645-2813 Maryland Average ALOS: 24.3

Provider Number: 215273 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Waldorf Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Waldorf Ctr

Compared to

Maryland

Average

0.8 12% Below 2% Below

1.8 25% Below 26% Below

83% 38% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Charles County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.6%

11.4%

19.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Waldorf Ctr

Maryland

Nation

244

Page 245: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased46.0% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWaldorf Ctr Maryland Average

24.6

30.8

41.9

28.9

35.3

23.0

24.8

30.2

23.7

20.5

18.3

24.7

21.4

30.6

25.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Heart Failure & Shock w/ MCC

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Waldorf Ctr

Maryland

Nation

$493 $487

$300

$400

$500

$600

Waldorf Ctr Maryland

Waldorf Ctr Avg Payment Per Day

$12,454 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Waldorf Ctr Maryland

Waldorf Ctr Avg Payment Per Stay

245

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County Name:

Facility: Chesapeake Woods Ctr

525 Glenburn Avenue Number of Beds: 98Cambridge, MD Source: CMS Nursing Home Compare, data as of 4/2015

21613 Chesapeake Woods Ctr ALOS: 28.4(410) 221-1400 Maryland Average ALOS: 24.3

Provider Number: 215221 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chesapeake Woods Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Chesapeake Woods Ctr

Compared to

Maryland

Average

0.7 28% Below 19% Below

2.7 13% Above 12% Above

86% 43% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Dorchester County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.2%

11.1%

19.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Chesapeake WoodsCtr

Maryland

Nation

246

Page 247: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageChesapeake Woods Ctr Maryland Average

39.4

33.0

52.6

23.8

32.9

25.0

32.3

32.7

22.3

24.6

19.0

41.3

38.1

21.7

28.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Medical Back Problems w/o MCC

4) Rehabilitation w/ CC/MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Heart Failure & Shock w/ CC

1) Kidney & Urinary Tract Infectionsw/o MCC

Chesapeake Woods Ctr

Maryland

Nation

$447 $487

$300

$400

$500

$600

Chesapeake Woods Ctr Maryland

Chesapeake Woods Ctr Avg Payment Per Day

$12,703 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Chesapeake Woods Ctr Maryland

Chesapeake Woods Ctr Avg Payment Per Stay

247

Page 248: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Signature Healthcare at Mallard Bay

520 Glenburn Avenue Number of Beds: 160Cambridge, MD Source: CMS Nursing Home Compare, data as of 4/2015

21613 Signature Healthcare at Mallard Bay ALOS: 22.9(410) 228-9191 Maryland Average ALOS: 24.3

Provider Number: 215191 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Signature Healthcare at

Mallard Bay

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Signature Healthcare at Mallard

Bay

Compared to

Maryland

Average

1.1 20% Above 34% Above

1.9 19% Below 20% Below

51% 15% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Dorchester County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.7%

7.7%

14.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Signature Healthcareat Mallard Bay

Maryland

Nation

248

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine90.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSignature Healthcare at Mallard Bay Maryland Average

21.9

22.4

35.3

27.9

32.9

21.2

22.3

20.5

22.3

24.6

30.1

18.0

23.0

16.0

15.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Chronic Obstructive PulmonaryDisease w/ MCC

4) Pulmonary Edema & RespiratoryFailure

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) G.I. Hemorrhage w/ CC

1) Kidney & Urinary Tract Infectionsw/o MCC

Signature Healthcare atMallard Bay

Maryland

Nation

$482 $487

$300

$400

$500

$600

Signature Healthcare atMallard Bay

Maryland

Signature Healthcare at Mallard Bay Avg Payment Per Day

$11,050 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Signature Healthcare atMallard Bay

Maryland

Signature Healthcare at Mallard Bay Avg Payment Per Stay

249

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County Name:

Facility: Buckingham's Choice

3200 Baker Circle Number of Beds: 41Adamstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21710 Buckingham's Choice ALOS: 27.5(301) 644-1600 Maryland Average ALOS: 24.3

Provider Number: 215329 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Buckingham's Choice

Alzheimer's Care No 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Buckingham's Choice

Compared to

Maryland

Average

1.7 84% Above 106% Above

2.5 3% Above 2% Above

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

12.9%

17.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Buckingham's Choice

Maryland

Nation

250

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased2.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBuckingham's Choice Maryland Average

41.8

30.2

29.2

29.7

52.6

24.0

24.1

21.4

23.7

32.7

15.3

9.3

15.3

20.5

47.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/ MCC

4) Syncope & Collapse

3) Acute Myocardial Infarction,Discharged Alive w/ CC

2) Simple Pneumonia & Pleurisy w/CC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Buckingham's Choice

Maryland

Nation

$500 $487

$300

$400

$500

$600

Buckingham's Choice Maryland

Buckingham's Choice Avg Payment Per Day

$13,726

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Buckingham's Choice Maryland

Buckingham's Choice Avg Payment Per Stay

251

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County Name:

Facility: Citizens Care & Rehab Ctr of Frederick

1920 Rosemont Avenue Number of Beds: 2Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015 17021702 Citizens Care & Rehab Ctr of Frederick ALOS:

(301) 600-5600 Maryland Average ALOS: 29.9Provider Number: 215105 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Citizens Care & Rehab Ctr of

Frederick

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Citizens Care & Rehab Ctr of

Frederick

Compared to

Maryland

Average

0.8 14% Below 3% Below

2.8 17% Above 15% Above

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.3%

9.4%

15.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Citizens Care &Rehab Ctr of Frederick

Maryland

Nation

252

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.5% 18.2% 15.6%

Percent of residents who were physically

restrained1.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCitizens Care & Rehab Ctr of Frederick Maryland Average

28.9

29.7

41.9

52.6

35.3

23.7

23.7

30.2

32.7

20.5

29.1

22.4

27.5

44.4

19.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Simple Pneumonia & Pleurisy w/CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Citizens Care & Rehab Ctrof Frederick

Maryland

Nation

$518 $487

$300

$400

$500

$600

Citizens Care & Rehab Ctrof Frederick

Maryland

Citizens Care & Rehab Ctr of Frederick Avg Payment Per Day

$15,486

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Citizens Care & Rehab Ctrof Frederick

Maryland

Citizens Care & Rehab Ctr of Frederick Avg Payment Per Stay

253

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County Name:

Facility: College View Ctr

700 Toll House Avenue Number of Beds: 143Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015

21701 College View Ctr ALOS: 19.5(301) 663-5181 Maryland Average ALOS: 24.3

Provider Number: 215001 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

College View Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

College View Ctr

Compared to

Maryland

Average

0.7 24% Below 15% Below

2.1 15% Below 16% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

12.4%

22.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

College View Ctr

Maryland

Nation

254

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain11.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCollege View Ctr Maryland Average

29.7

32.9

28.3

28.9

35.3

23.7

24.6

22.8

23.7

20.5

30.8

25.4

10.0

37.8

17.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Simple Pneumonia & Pleurisy w/CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Simple Pneumonia & Pleurisy w/MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

College View Ctr

Maryland

Nation

$454 $487

$300

$400

$500

$600

College View Ctr Maryland

College View Ctr Avg Payment Per Day

$8,841

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

College View Ctr Maryland

College View Ctr Avg Payment Per Stay

255

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County Name:

Facility: Glade Valley Ctr

56 West Frederick Street Number of Beds: 124Walkersville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21793 Glade Valley Ctr ALOS: 29.7(301) 898-4300 Maryland Average ALOS: 24.3

Provider Number: 215313 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Glade Valley Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Glade Valley Ctr

Compared to

Maryland

Average

0.9 4% Below 8% Above

1.9 20% Below 21% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

10.3%

18.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Glade Valley Ctr

Maryland

Nation

256

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury7.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased32.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGlade Valley Ctr Maryland Average

41.9

29.7

23.8

52.6

35.3

30.2

23.7

22.3

32.7

20.5

38.5

28.3

26.6

43.8

21.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Heart Failure & Shock w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Glade Valley Ctr

Maryland

Nation

$470 $487

$300

$400

$500

$600

Glade Valley Ctr Maryland

Glade Valley Ctr Avg Payment Per Day

$13,965

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Glade Valley Ctr Maryland

Glade Valley Ctr Avg Payment Per Stay

257

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County Name:

Facility: Golden Living Ctr - Frederick

30 North Place Number of Beds: 120Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015

21701 Golden Living Ctr - Frederick ALOS: 22.3(301) 695-6618 Maryland Average ALOS: 24.3

Provider Number: 215184 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Golden Living Ctr - Frederick

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Golden Living Ctr - Frederick

Compared to

Maryland

Average

0.4 55% Below 49% Below

1.9 21% Below 23% Below

82% 37% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

7.6%

14.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Golden Living Ctr -Frederick

Maryland

Nation

258

Page 259: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury8.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine39.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGolden Living Ctr - Frederick Maryland Average

29.8

29.3

29.7

28.9

35.3

26.7

25.7

23.7

23.7

20.5

17.0

28.1

24.9

16.2

20.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Cellulitis w/o MCC

4) Renal Failure w/ MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Golden Living Ctr -Frederick

Maryland

Nation

$481 $487

$300

$400

$500

$600

Golden Living Ctr -Frederick

Maryland

Golden Living Ctr - Frederick Avg Payment Per Day

$10,701 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Golden Living Ctr -Frederick

Maryland

Golden Living Ctr - Frederick Avg Payment Per Stay

259

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County Name:

Facility: Homewood at Crumland Farms

7407 Willow Road Number of Beds: 117Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015

21702 Homewood at Crumland Farms ALOS: 28.6(301) 644-5600 Maryland Average ALOS: 24.3

Provider Number: 215245 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Homewood at Crumland

Farms

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Homewood at Crumland Farms

Compared to

Maryland

Average

0.9 1% Below 11% Above

2.8 15% Above 13% Above

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

11.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Homewood atCrumland Farms

Maryland

Nation

260

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain14.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.8% 18.2% 15.6%

Percent of residents who were physically

restrained2.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHomewood at Crumland Farms Maryland Average

24.6

52.6

29.7

23.8

35.3

23.0

32.7

23.7

22.3

20.5

22.8

42.3

34.5

26.6

17.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Simple Pneumonia & Pleurisy w/CC

2) Heart Failure & Shock w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Homewood at CrumlandFarms

Maryland

Nation

$480 $487

$300

$400

$500

$600

Homewood at CrumlandFarms

Maryland

Homewood at Crumland Farms Avg Payment Per Day

$13,724

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Homewood at CrumlandFarms

Maryland

Homewood at Crumland Farms Avg Payment Per Stay

261

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County Name:

Facility: Northampton Manor

200 East 16th Street Number of Beds: 190Frederick, MD Source: CMS Nursing Home Compare, data as of 4/2015

21701 Northampton Manor ALOS: 29.4(301) 662-8700 Maryland Average ALOS: 24.3

Provider Number: 215217 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Northampton Manor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Northampton Manor

Compared to

Maryland

Average

1.0 5% Above 18% Above

2.0 19% Below 20% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.0%

10.5%

18.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Northampton Manor

Maryland

Nation

262

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.1% 18.2% 15.6%

Percent of residents who were physically

restrained2.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNorthampton Manor Maryland Average

52.6

29.7

29.3

28.9

35.3

32.7

23.7

25.7

23.7

20.5

40.2

38.6

35.3

22.9

27.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Renal Failure w/ MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Northampton Manor

Maryland

Nation

$482 $487

$300

$400

$500

$600

Northampton Manor Maryland

Northampton Manor Avg Payment Per Day

$14,150

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Northampton Manor Maryland

Northampton Manor Avg Payment Per Stay

263

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County Name:

Facility: St Joseph's Ministries

331 South Seton Avenue Number of Beds: 99Emmitsburg, MD Source: CMS Nursing Home Compare, data as of 4/2015

21727 St Joseph's Ministries ALOS: 33.1(301) 447-7000 Maryland Average ALOS: 24.3

Provider Number: 215267 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

St Joseph's Ministries

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

St Joseph's Ministries

Compared to

Maryland

Average

0.8 15% Below 5% Below

3.3 38% Above 36% Above

35% 42% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

7.9%

16.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

St Joseph's Ministries

Maryland

Nation

264

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased20.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

65.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSt Joseph's Ministries Maryland Average

28.3

31.3

32.9

52.6

35.3

22.8

24.3

24.6

32.7

20.5

27.3

30.2

42.2

66.2

25.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Simple Pneumonia & Pleurisy w/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

St Joseph's Ministries

Maryland

Nation

$510 $487

$300

$400

$500

$600

St Joseph's Ministries Maryland

St Joseph's Ministries Avg Payment Per Day

$16,888

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

St Joseph's Ministries Maryland

St Joseph's Ministries Avg Payment Per Stay

265

Page 266: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Vindobona Nursing & Rehab Ctr

6012 Jefferson Blvd Number of Beds: 65Braddock Heights, MD Source: CMS Nursing Home Compare, data as of 4/2015

21714 Vindobona Nursing & Rehab Ctr ALOS: 30.7(301) 371-7160 Maryland Average ALOS: 24.3

Provider Number: 215199 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Vindobona Nursing & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Vindobona Nursing & Rehab Ctr

Compared to

Maryland

Average

1.3 35% Above 51% Above

1.6 34% Below 35% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Frederick County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

19.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Vindobona Nursing &Rehab Ctr

Maryland

Nation

266

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection15.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageVindobona Nursing & Rehab Ctr Maryland Average

39.4

35.3

41.9

28.9

24.6

25.0

20.5

30.2

23.7

23.0

26.5

9.5

43.0

33.2

37.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Medical Back Problems w/o MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Heart Failure & Shock w/ MCC

Vindobona Nursing & RehabCtr

Maryland

Nation

$520 $487

$300

$400

$500

$600

Vindobona Nursing &Rehab Ctr

Maryland

Vindobona Nursing & Rehab Ctr Avg Payment Per Day

$16,002

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Vindobona Nursing &Rehab Ctr

Maryland

Vindobona Nursing & Rehab Ctr Avg Payment Per Stay

267

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County Name:

Facility: Dennett Road Manor

1113 Mary Drive Number of Beds: 99Oakland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21550 Dennett Road Manor ALOS: 39.8(301) 334-8700 Maryland Average ALOS: 24.3

Provider Number: 215216 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Dennett Road Manor

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Dennett Road Manor

Compared to

Maryland

Average

0.7 25% Below 16% Below

2.9 21% Above 19% Above

77% 28% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Garrett County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Dennett Road Manor

Maryland

Nation

268

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.2% 18.2% 15.6%

Percent of residents who were physically

restrained6.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageDennett Road Manor Maryland Average

22.4

41.9

38.4

23.8

24.6

22.3

30.2

27.8

22.3

23.0

49.5

59.0

11.5

43.3

43.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Pulmonary Edema & RespiratoryFailure

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Heart Failure & Shock w/ CC

1) Heart Failure & Shock w/ MCC

Dennett Road Manor

Maryland

Nation

$433

$487

$300

$400

$500

$600

Dennett Road Manor Maryland

Dennett Road Manor Avg Payment Per Day

$17,226

$11,840

$11,000

$13,000

$15,000

$17,000

$19,000

Dennett Road Manor Maryland

Dennett Road Manor Avg Payment Per Stay

269

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County Name:

Facility: Garrett County Subacute Unit

251 North Fourth Street Number of Beds: 10Oakland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21550 Garrett County Subacute Unit ALOS: 7.9(301) 533-4000 Maryland Average ALOS: 24.3

Provider Number: 215310 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Garrett County Subacute Unit

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Garrett County Subacute Unit

Compared to

Maryland

Average

5.2 454% Above 521% Above

4.6 89% Above 87% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Garrett County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

8.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Garrett CountySubacute Unit

Maryland

Nation

270

Page 271: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGarrett County Subacute Unit Maryland Average

41.9

50.3

52.6

50.8

35.3

30.2

32.5

32.7

30.8

20.5

10.0

8.5

9.8

11.6

6.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Lower Extremity & HumerusProcedure Except Hip, Foot, Femur

w/o CC/MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Garrett County SubacuteUnit

Maryland

Nation

$417

$487

$300

$400

$500

$600

Garrett County SubacuteUnit

Maryland

Garrett County Subacute Unit Avg Payment Per Day

$3,294

$11,840

$2,000

$6,000

$10,000

$14,000

Garrett County SubacuteUnit

Maryland

Garrett County Subacute Unit Avg Payment Per Stay

271

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County Name:

Facility: Goodwill Mennonite Home

891 Dorsey Hotel Road Number of Beds: 107Grantsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21536 Goodwill Mennonite Home ALOS: 24.6(301) 895-5194 Maryland Average ALOS: 24.3

Provider Number: 215250 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Goodwill Mennonite Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Goodwill Mennonite Home

Compared to

Maryland

Average

0.6 41% Below 34% Below

2.7 12% Above 11% Above

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Garrett County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Goodwill MennoniteHome

Maryland

Nation

272

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain14.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.2% 18.2% 15.6%

Percent of residents who were physically

restrained11.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGoodwill Mennonite Home Maryland Average

30.9

50.3

35.3

27.9

41.9

22.8

32.5

20.5

21.0

30.2

9.5

30.5

34.0

14.5

13.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cellulitis w/ MCC

4) Lower Extremity & HumerusProcedure Except Hip, Foot, Femur

w/o CC/MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Acute Myocardial Infarction,Discharged Alive w/ MCC

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Goodwill Mennonite Home

Maryland

Nation

$418

$487

$300

$400

$500

$600

Goodwill Mennonite Home Maryland

Goodwill Mennonite Home Avg Payment Per Day

$10,304

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Goodwill Mennonite Home Maryland

Goodwill Mennonite Home Avg Payment Per Stay

273

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County Name:

Facility: Oakland Nursing & Rehab Ctr

706 East Alder Street Number of Beds: 112Oakland, MD Source: CMS Nursing Home Compare, data as of 4/2015

21550 Oakland Nursing & Rehab Ctr ALOS: 30.4(301) 334-2319 Maryland Average ALOS: 24.3

Provider Number: 215232 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Oakland Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Oakland Nursing & Rehab Ctr

Compared to

Maryland

Average

0.6 36% Below 28% Below

2.7 10% Above 9% Above

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Garrett County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Oakland Nursing &Rehab Ctr

Maryland

Nation

274

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageOakland Nursing & Rehab Ctr Maryland Average

22.4

41.9

38.4

35.3

52.6

22.3

30.2

27.8

20.5

32.7

6.0

53.0

56.3

32.5

27.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Pulmonary Edema & RespiratoryFailure

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Oakland Nursing &Rehab Ctr

Maryland

Nation

$472 $487

$300

$400

$500

$600

Oakland Nursing & RehabCtr

Maryland

Oakland Nursing & Rehab Ctr Avg Payment Per Day

$14,344

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Oakland Nursing & RehabCtr

Maryland

Oakland Nursing & Rehab Ctr Avg Payment Per Stay

275

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County Name:

Facility: Bel Air Health & Rehab Ctr

410 East Mcphail Road Number of Beds: NABel Air, MD Source: CMS Nursing Home Compare, data as of 4/2015

21014 Bel Air Health & Rehab Ctr ALOS: 22.3(410) 879-1120 Maryland Average ALOS: 24.3

Provider Number: 215312 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bel Air Health & Rehab Ctr

Alzheimer's Care Not Available 94%

Care for Tracheostomy Patients Not Available 78%

Catheter Care Not Available 100%

Central IV Therapy Not Available 91%

Dialysis Care Not Available 26%

Hospice Care Not Available 92%

Peritoneal Dialysis Care Not Available 19%

Rehabilitation Care Not Available 98%

Respite Care Not Available 89%

Total Parenteral Nutrition (TPN) Not Available 23%

Ventilator Care Not Available 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bel Air Health & Rehab Ctr

Compared to

Maryland

Average

1.0 11% Above 24% Above

1.7 31% Below 32% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.6%

12.2%

19.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bel Air Health &Rehab Ctr

Maryland

Nation

276

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain15.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBel Air Health & Rehab Ctr Maryland Average

30.8

33.0

32.9

28.9

35.3

24.8

32.3

24.6

23.7

20.5

21.7

30.3

24.2

30.7

15.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Rehabilitation w/ CC/MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Bel Air Health & Rehab Ctr

Maryland

Nation

$502 $487

$300

$400

$500

$600

Bel Air Health & RehabCtr

Maryland

Bel Air Health & Rehab Ctr Avg Payment Per Day

$11,191 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Bel Air Health & RehabCtr

Maryland

Bel Air Health & Rehab Ctr Avg Payment Per Stay

277

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County Name:

Facility: Citizens Care Ctr

415 S. Market Street Number of Beds: 200Havre De Grace, MD Source: CMS Nursing Home Compare, data as of 4/2015

21078 Citizens Care Ctr ALOS: 19.0(410) 939-5500 Maryland Average ALOS: 24.3

Provider Number: 215039 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Citizens Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Citizens Care Ctr

Compared to

Maryland

Average

0.8 15% Below 5% Below

2.1 14% Below 15% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

11.1%

19.4%

27.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Citizens Care Ctr

Maryland

Nation

278

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCitizens Care Ctr Maryland Average

41.9

32.9

52.6

35.3

28.9

30.2

24.6

32.7

20.5

23.7

15.3

22.6

20.8

20.1

17.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Citizens Care Ctr

Maryland

Nation

$501 $487

$300

$400

$500

$600

Citizens Care Ctr Maryland

Citizens Care Ctr Avg Payment Per Day

$9,494

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

Citizens Care Ctr Maryland

Citizens Care Ctr Avg Payment Per Stay

279

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County Name:

Facility: Forest Hill Health & Rehab Ctr

109 Forest Valley Drive Number of Beds: 156Forest Hill, MD Source: CMS Nursing Home Compare, data as of 4/2015

21050 Forest Hill Health & Rehab Ctr ALOS: 20.4(410) 838-0101 Maryland Average ALOS: 24.3

Provider Number: 215194 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Forest Hill Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Forest Hill Health & Rehab Ctr

Compared to

Maryland

Average

Not Available -- --

Not Available -- --

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.0%

11.8%

23.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Forest Hill Health &Rehab Ctr

Maryland

Nation

280

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.8% 18.2% 15.6%

Percent of residents who were physically

restrained4.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageForest Hill Health & Rehab Ctr Maryland Average

31.3

23.8

32.9

35.3

28.9

24.3

22.3

24.6

20.5

23.7

23.3

15.9

17.3

18.0

22.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Heart Failure & Shock w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Forest Hill Health & RehabCtr

Maryland

Nation

$503 $487

$300

$400

$500

$600

Forest Hill Health &Rehab Ctr

Maryland

Forest Hill Health & Rehab Ctr Avg Payment Per Day

$10,282

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Forest Hill Health & RehabCtr

Maryland

Forest Hill Health & Rehab Ctr Avg Payment Per Stay

281

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County Name:

Facility: Lorien Bulle Rock

1501 Blenheim Farm Lane Number of Beds: 78Havre De Grace, MD Source: CMS Nursing Home Compare, data as of 4/2015

21078 Lorien Bulle Rock ALOS: 18.0(410) 939-9300 Maryland Average ALOS: 24.3

Provider Number: 215359 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Bulle Rock

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Bulle Rock

Compared to

Maryland

Average

1.7 81% Above 103% Above

2.0 17% Below 18% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

13.0%

22.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Bulle Rock

Maryland

Nation

282

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain18.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers13.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

78.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine80.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Bulle Rock Maryland Average

28.9

41.9

38.4

39.4

35.3

23.7

30.2

27.8

25.0

20.5

19.2

25.6

28.8

22.3

15.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Medical Back Problems w/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Bulle Rock

Maryland

Nation

$498 $487

$300

$400

$500

$600

Lorien Bulle Rock Maryland

Lorien Bulle Rock Avg Payment Per Day

$8,976

$11,840

$8,000

$10,000

$12,000

$14,000

$16,000

Lorien Bulle Rock Maryland

Lorien Bulle Rock Avg Payment Per Stay

283

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County Name:

Facility: Lorien Health Systems - Riverside

1123 Belcamp Rd Number of Beds: 119Belcamp, MD Source: CMS Nursing Home Compare, data as of 4/2015

21017 Lorien Health Systems - Riverside ALOS: 24.7(410) 575-6400 Maryland Average ALOS: 24.3

Provider Number: 215233 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Health Systems -

Riverside

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Health Systems -

Riverside

Compared to

Maryland

Average

1.0 6% Above 19% Above

2.5 4% Above 3% Above

53% 12% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.2%

16.3%

26.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Health Systems- Riverside

Maryland

Nation

284

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.0% 18.2% 15.6%

Percent of residents who were physically

restrained1.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

90.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Health Systems - Riverside Maryland Average

20.8

35.3

41.9

23.8

28.9

21.7

20.5

30.2

22.3

23.7

18.0

26.7

23.4

19.7

21.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Chronic Obstructive PulmonaryDisease w/ CC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Heart Failure & Shock w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Lorien Health Systems -Riverside

Maryland

Nation

$509 $487

$300

$400

$500

$600

Lorien Health Systems -Riverside

Maryland

Lorien Health Systems - Riverside Avg Payment Per Day

$12,566 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lorien Health Systems -Riverside

Maryland

Lorien Health Systems - Riverside Avg Payment Per Stay

285

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County Name:

Facility: Lorien Nursing & Rehab Ctr Belair

1909 Emorton Road Number of Beds: 66Bel Air, MD Source: CMS Nursing Home Compare, data as of 4/2015

21015 Lorien Nursing & Rehab Ctr Belair ALOS: 18.0(410) 803-1400 Maryland Average ALOS: 24.3

Provider Number: 215341 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Nursing & Rehab Ctr

Belair

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Nursing & Rehab Ctr

Belair

Compared to

Maryland

Average

1.2 30% Above 46% Above

2.9 20% Above 18% Above

76% 27% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Harford County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.5%

12.6%

21.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Nursing &Rehab Ctr Belair

Maryland

Nation

286

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain16.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Nursing & Rehab Ctr Belair Maryland Average

33.1

32.9

43.7

52.6

35.3

18.7

24.6

29.0

32.7

20.5

13.3

17.6

25.9

21.2

15.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Spinal Fusion Except Cervicalw/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Fractures of Hip & Pelvis w/oMCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Nursing & Rehab CtrBelair

Maryland

Nation

$495 $487

$300

$400

$500

$600

Lorien Nursing & RehabCtr Belair

Maryland

Lorien Nursing & Rehab Ctr Belair Avg Payment Per Day

$8,889

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Lorien Nursing & RehabCtr Belair

Maryland

Lorien Nursing & Rehab Ctr Belair Avg Payment Per Stay

287

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County Name:

Facility: Ellicott City Health & Rehab Ctr

3000 North Ridge Rd. Number of Beds: 155Ellicott City City, MD Source: CMS Nursing Home Compare, data as of 4/2015

21043 Ellicott City Health & Rehab Ctr ALOS: 30.3(410) 461-7577 Maryland Average ALOS: 24.3

Provider Number: 215160 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Ellicott City Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Ellicott City Health & Rehab Ctr

Compared to

Maryland

Average

0.7 25% Below 16% Below

1.9 23% Below 24% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Howard County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.0%

16.6%

23.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Ellicott City Health &Rehab Ctr

Maryland

Nation

288

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased20.8% 18.2% 15.6%

Percent of residents who were physically

restrained1.8% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageEllicott City Health & Rehab Ctr Maryland Average

24.2

34.6

32.9

28.9

33.0

20.3

28.8

24.6

23.7

32.3

30.6

31.8

25.5

30.2

43.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Other Circulatory SystemDiagnoses w/ MCC

4) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Rehabilitation w/ CC/MCC

Ellicott City Health & RehabCtr

Maryland

Nation

$498 $487

$300

$400

$500

$600

Ellicott City Health &Rehab Ctr

Maryland

Ellicott City Health & Rehab Ctr Avg Payment Per Day

$15,086

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Ellicott City Health &Rehab Ctr

Maryland

Ellicott City Health & Rehab Ctr Avg Payment Per Stay

289

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County Name:

Facility: Encore at Turf Valley

11150 Resort Road Number of Beds: 63Ellicott City, MD Source: CMS Nursing Home Compare, data as of 4/2015

21042 Encore at Turf Valley ALOS: 22.1(410) 461-7070 Maryland Average ALOS: 24.3

Provider Number: 215355 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Encore at Turf Valley

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Encore at Turf Valley

Compared to

Maryland

Average

1.3 43% Above 61% Above

2.3 4% Below 5% Below

72% 20% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Howard County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.1%

16.4%

24.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Encore at Turf Valley

Maryland

Nation

290

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

75.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageEncore at Turf Valley Maryland Average

28.9

31.3

52.6

33.0

35.3

23.7

24.3

32.7

32.3

20.5

20.4

24.3

28.9

29.0

18.6

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Rehabilitation w/ CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Encore at Turf Valley

Maryland

Nation

$508 $487

$300

$400

$500

$600

Encore at Turf Valley Maryland

Encore at Turf Valley Avg Payment Per Day

$11,222 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Encore at Turf Valley Maryland

Encore at Turf Valley Avg Payment Per Stay

291

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County Name:

Facility: Lorien Health Systems - Columbia

6334 Cedar Lane Number of Beds: 209Columbia, MD Source: CMS Nursing Home Compare, data as of 4/2015

21044 Lorien Health Systems - Columbia ALOS: 22.4(410) 531-5300 Maryland Average ALOS: 24.3

Provider Number: 215112 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Health Systems -

Columbia

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Health Systems -

Columbia

Compared to

Maryland

Average

0.9 8% Below 3% Above

2.4 The Same 1% Below

88% 47% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Howard County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

10.6%

19.2%

29.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Lorien Health Systems- Columbia

Maryland

Nation

292

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers14.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine83.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Health Systems - Columbia Maryland Average

34.6

31.3

52.6

22.4

28.9

28.8

24.3

32.7

22.3

23.7

36.4

23.2

22.7

16.9

23.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Pulmonary Edema & RespiratoryFailure

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Lorien Health Systems -Columbia

Maryland

Nation

$509 $487

$300

$400

$500

$600

Lorien Health Systems -Columbia

Maryland

Lorien Health Systems - Columbia Avg Payment Per Day

$11,407 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Lorien Health Systems -Columbia

Maryland

Lorien Health Systems - Columbia Avg Payment Per Stay

293

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County Name:

Facility: Lorien Nursing & Rehab Ctr - Elkridge

7615 Washington Boulevard Number of Beds: 64Elkridge, MD Source: CMS Nursing Home Compare, data as of 4/2015

21075 Lorien Nursing & Rehab Ctr - Elkridge ALOS: 17.4(410) 579-2626 Maryland Average ALOS: 24.3

Provider Number: 215357 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lorien Nursing & Rehab Ctr -

Elkridge

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Lorien Nursing & Rehab Ctr -

Elkridge

Compared to

Maryland

Average

1.3 35% Above 51% Above

2.4 2% Below 4% Below

53% 12% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Howard County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.9%

13.2%

19.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Lorien Nursing &Rehab Ctr - Elkridge

Maryland

Nation

294

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain10.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

53.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine71.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLorien Nursing & Rehab Ctr - Elkridge Maryland Average

33.0

32.9

28.9

52.6

35.3

32.3

24.6

23.7

32.7

20.5

22.7

17.0

20.7

26.1

15.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Rehabilitation w/ CC/MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Lorien Nursing & Rehab Ctr- Elkridge

Maryland

Nation

$488 $487

$300

$400

$500

$600

Lorien Nursing & RehabCtr - Elkridge

Maryland

Lorien Nursing & Rehab Ctr - Elkridge Avg Payment Per Day

$8,490

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Lorien Nursing & RehabCtr - Elkridge

Maryland

Lorien Nursing & Rehab Ctr - Elkridge Avg Payment Per Stay

295

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County Name:

Facility: Vantage House

5400 Vantage Point Rd. Number of Beds: 44Columbia, MD Source: CMS Nursing Home Compare, data as of 4/2015

21044 Vantage House ALOS: 22.6(410) 964-5454 Maryland Average ALOS: 24.3

Provider Number: 215344 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Vantage House

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Vantage House

Compared to

Maryland

Average

0.6 31% Below 23% Below

2.2 9% Below 10% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Howard County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Vantage House

Maryland

Nation

296

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageVantage House Maryland Average

21.9

36.8

41.9

30.8

22.4

21.2

26.8

30.2

23.8

22.3

19.5

26.0

16.5

21.3

7.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Chronic Obstructive PulmonaryDisease w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/o CC/MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Simple Pneumonia & Pleurisyw/o CC/MCC

1) Pulmonary Edema & RespiratoryFailure

Vantage House

Maryland

Nation

$476 $487

$300

$400

$500

$600

Vantage House Maryland

Vantage House Avg Payment Per Day

$10,734 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Vantage House Maryland

Vantage House Avg Payment Per Stay

297

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County Name:

Facility: Chestertown Rehab & Nursing Ctr

415 Morgnec Road Number of Beds: 92Chestertown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21620 Chestertown Rehab & Nursing Ctr ALOS: 23.5(410) 778-1900 Maryland Average ALOS: 24.3

Provider Number: 215260 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chestertown Rehab & Nursing

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Chestertown Rehab & Nursing

Ctr

Compared to

Maryland

Average

1.3 38% Above 55% Above

2.6 7% Above 6% Above

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Kent County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.9%

15.0%

25.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Chestertown Rehab &Nursing Ctr

Maryland

Nation

298

Page 299: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain19.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.5% 18.2% 15.6%

Percent of residents who were physically

restrained6.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageChestertown Rehab & Nursing Ctr Maryland Average

25.8

29.8

29.7

20.8

35.3

25.3

26.7

23.7

21.7

20.5

21.6

26.2

23.5

19.3

29.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Esophagitis, Gastroenteritis &Miscellaneous Digestive Disorders

w/o MCC

4) Cellulitis w/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Chronic Obstructive PulmonaryDisease w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Chestertown Rehab &Nursing Ctr

Maryland

Nation

$433

$487

$300

$400

$500

$600

Chestertown Rehab &Nursing Ctr

Maryland

Chestertown Rehab & Nursing Ctr Avg Payment Per Day

$10,161

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Chestertown Rehab &Nursing Ctr

Maryland

Chestertown Rehab & Nursing Ctr Avg Payment Per Stay

299

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County Name:

Facility: Heron Point of Chestertown

501 Campus Avenue Number of Beds: 38Chestertown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21620 Heron Point of Chestertown ALOS: 17.1(410) 778-7300 Maryland Average ALOS: 24.3

Provider Number: 215235 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Heron Point of Chestertown

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Heron Point of Chestertown

Compared to

Maryland

Average

1.7 81% Above 103% Above

1.8 26% Below 27% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Kent County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Heron Point ofChestertown

Maryland

Nation

300

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHeron Point of Chestertown Maryland Average

31.3

25.6

29.7

50.8

35.3

24.3

20.5

23.7

30.8

20.5

12.0

18.0

15.5

33.0

23.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Bronchitis & Asthma w/oCC/MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Hip & Femur Procedures ExceptMajor Joint w/o CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Heron Point of Chestertown

Maryland

Nation

$407

$487

$300

$400

$500

$600

Heron Point ofChestertown

Maryland

Heron Point of Chestertown Avg Payment Per Day

$6,944

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Heron Point ofChestertown

Maryland

Heron Point of Chestertown Avg Payment Per Stay

301

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County Name:

Facility: UMD Shore Nursing & Rehab

200 Morgnec Road Number of Beds: 98Chestertown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21620 UMD Shore Nursing & Rehab ALOS: 18.6(410) 778-4550 Maryland Average ALOS: 24.3

Provider Number: 215262 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

UMD Shore Nursing & Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

UMD Shore Nursing & Rehab

Compared to

Maryland

Average

0.5 41% Below 34% Below

1.8 26% Below 27% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Kent County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.0%

11.3%

19.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

UMD Shore Nursing &Rehab

Maryland

Nation

302

Page 303: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain11.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

84.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine91.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageUMD Shore Nursing & Rehab Maryland Average

20.8

32.7

23.8

32.9

35.3

21.7

23.7

22.3

24.6

20.5

14.0

20.2

18.0

16.8

20.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Chronic Obstructive PulmonaryDisease w/ CC

4) Signs & Symptoms w/o MCC

3) Heart Failure & Shock w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

UMD Shore Nursing &Rehab

Maryland

Nation

$395

$487

$300

$400

$500

$600

UMD Shore Nursing &Rehab

Maryland

UMD Shore Nursing & Rehab Avg Payment Per Day

$7,339

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

UMD Shore Nursing &Rehab

Maryland

UMD Shore Nursing & Rehab Avg Payment Per Stay

303

Page 304: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Althea Woodland Nursing Home

1000 Daleview Drive Number of Beds: 50Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20901 Althea Woodland Nursing Home ALOS: 30.0(301) 434-2646 Maryland Average ALOS: 24.3

Provider Number: 215228 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Althea Woodland Nursing

Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Althea Woodland Nursing Home

Compared to

Maryland

Average

0.7 24% Below 15% Below

2.4 2% Below 3% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Althea WoodlandNursing Home

Maryland

Nation

304

Page 305: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased3.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAlthea Woodland Nursing Home Maryland Average

30.3

30.3

39.4

38.6

27.9

22.0

23.7

29.4

26.8

22.3

32.0

14.5

52.0

27.3

4.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Pulmonary Embolism w/o MCC

4) Seizures w/o MCC

3) Degenerative Nervous SystemDisorders w/o MCC

2) Organic Disturbances & MentalRetardation

1) G.I. Hemorrhage w/ CC

Althea Woodland NursingHome

Maryland

Nation

$538 $487

$300

$400

$500

$600

Althea Woodland NursingHome

Maryland

Althea Woodland Nursing Home Avg Payment Per Day

$16,123

$11,840

$10,000

$12,000

$14,000

$16,000

$18,000

Althea Woodland NursingHome

Maryland

Althea Woodland Nursing Home Avg Payment Per Stay

305

Page 306: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Arcola Health & Rehab Ctr

901 Arcola Avenue Number of Beds: 158Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20902 Arcola Health & Rehab Ctr ALOS: 29.9(301) 649-2400 Maryland Average ALOS: 24.3

Provider Number: 215014 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Arcola Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Arcola Health & Rehab Ctr

Compared to

Maryland

Average

0.2 74% Below 71% Below

2.3 6% Below 7% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.5%

11.2%

18.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Arcola Health &Rehab Ctr

Maryland

Nation

306

Page 307: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageArcola Health & Rehab Ctr Maryland Average

41.9

52.6

32.9

35.3

28.9

30.2

32.7

24.6

20.5

23.7

51.3

51.1

25.4

26.5

19.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Arcola Health & RehabCtr

Maryland

Nation

$517 $487

$300

$400

$500

$600

Arcola Health & Rehab Ctr Maryland

Arcola Health & Rehab Ctr Avg Payment Per Day

$15,450

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Arcola Health & Rehab Ctr Maryland

Arcola Health & Rehab Ctr Avg Payment Per Stay

307

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County Name:

Facility: Bedford Court Healthcare Ctr

3701 International Drive Number of Beds: 60Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20906 Bedford Court Healthcare Ctr ALOS: 25.0(301) 598-2900 Maryland Average ALOS: 24.3

Provider Number: 215246 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bedford Court Healthcare Ctr

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bedford Court Healthcare Ctr

Compared to

Maryland

Average

0.6 34% Below 26% Below

2.2 7% Below 9% Below

73% 22% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.8%

11.9%

17.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bedford CourtHealthcare Ctr

Maryland

Nation

308

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain11.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine88.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBedford Court Healthcare Ctr Maryland Average

41.9

35.3

52.6

28.9

32.9

30.2

20.5

32.7

23.7

24.6

29.7

27.7

40.1

25.0

18.8

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Bedford Court HealthcareCtr

Maryland

Nation

$464 $487

$300

$400

$500

$600

Bedford Court HealthcareCtr

Maryland

Bedford Court Healthcare Ctr Avg Payment Per Day

$11,629 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Bedford Court HealthcareCtr

Maryland

Bedford Court Healthcare Ctr Avg Payment Per Stay

309

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County Name:

Facility: Bel Pre Health & Rehab Ctr

2601 Bel Pre Road Number of Beds: 100Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20906 Bel Pre Health & Rehab Ctr ALOS: 35.6(301) 598-6000 Maryland Average ALOS: 24.3

Provider Number: 215065 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bel Pre Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bel Pre Health & Rehab Ctr

Compared to

Maryland

Average

0.5 45% Below 38% Below

1.9 20% Below 22% Below

74% 23% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bel Pre Health &Rehab Ctr

Maryland

Nation

310

Page 311: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBel Pre Health & Rehab Ctr Maryland Average

38.6

32.9

28.9

41.9

25.6

26.8

24.6

23.7

30.2

35.7

17.3

36.3

25.8

42.8

44.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Organic Disturbances & MentalRetardation

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Psychoses

Bel Pre Health & Rehab Ctr

Maryland

Nation

$526 $487

$300

$400

$500

$600

Bel Pre Health & RehabCtr

Maryland

Bel Pre Health & Rehab Ctr Avg Payment Per Day

$18,719

$11,840

$10,000 $12,000 $14,000 $16,000 $18,000 $20,000

Bel Pre Health & RehabCtr

Maryland

Bel Pre Health & Rehab Ctr Avg Payment Per Stay

311

Page 312: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Bethesda Health & Rehab

5721 Grosvenor Lane Number of Beds: 200Bethesda, MD Source: CMS Nursing Home Compare, data as of 4/2015

20814 Bethesda Health & Rehab ALOS: 25.3(301) 530-1600 Maryland Average ALOS: 24.3

Provider Number: 215187 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bethesda Health & Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bethesda Health & Rehab

Compared to

Maryland

Average

0.5 48% Below 42% Below

2.1 15% Below 16% Below

71% 18% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.5%

19.7%

31.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Bethesda Health &Rehab

Maryland

Nation

312

Page 313: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBethesda Health & Rehab Maryland Average

29.3

29.7

27.0

35.3

28.9

25.7

23.7

21.6

20.5

23.7

17.8

31.0

12.3

26.3

33.9

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Renal Failure w/ MCC

4) Simple Pneumonia & Pleurisy w/CC

3) Esophagitis, Gastroenteritis &Miscellaneous Digestive Disorders

w/ MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Bethesda Health &Rehab

Maryland

Nation

$500 $487

$300

$400

$500

$600

Bethesda Health & Rehab Maryland

Bethesda Health & Rehab Avg Payment Per Day

$12,680 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Bethesda Health & Rehab Maryland

Bethesda Health & Rehab Avg Payment Per Stay

313

Page 314: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Brighton Garden Tuckerman Lane

5550 Tuckerman Lane Number of Beds: 41North Bethesda, MD Source: CMS Nursing Home Compare, data as of 4/2015

20852 Brighton Garden Tuckerman Lane ALOS: 23.6(301) 897-8566 Maryland Average ALOS: 24.3

Provider Number: 215320 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Brighton Garden Tuckerman

Lane

Alzheimer's Care No 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Brighton Garden Tuckerman

Lane

Compared to

Maryland

Average

0.7 24% Below 15% Below

2.6 9% Above 8% Above

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

9.4%

13.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Brighton GardenTuckerman Lane

Maryland

Nation

314

Page 315: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury9.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers17.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBrighton Garden Tuckerman Lane Maryland Average

29.7

29.0

38.4

31.3

35.3

23.7

22.9

27.8

24.3

20.5

11.4

25.2

17.8

13.9

28.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Respiratory Infections &Inflammations w/ MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Brighton Garden TuckermanLane

Maryland

Nation

$461 $487

$300

$400

$500

$600

Brighton GardenTuckerman Lane

Maryland

Brighton Garden Tuckerman Lane Avg Payment Per Day

$10,907 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Brighton GardenTuckerman Lane

Maryland

Brighton Garden Tuckerman Lane Avg Payment Per Stay

315

Page 316: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Brooke Grove Rehab & Nursing Ctr

18131 Slade School Road Number of Beds: 168Sandy Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20860 Brooke Grove Rehab & Nursing Ctr ALOS: 24.4(301) 924-5176 Maryland Average ALOS: 24.3

Provider Number: 215200 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Brooke Grove Rehab &

Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Brooke Grove Rehab & Nursing

Ctr

Compared to

Maryland

Average

0.5 51% Below 46% Below

2.8 17% Above 15% Above

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.2%

11.3%

18.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Brooke Grove Rehab& Nursing Ctr

Maryland

Nation

316

Page 317: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased24.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBrooke Grove Rehab & Nursing Ctr Maryland Average

32.9

39.4

28.9

52.6

35.3

24.6

25.0

23.7

32.7

20.5

25.9

28.3

23.1

31.5

20.6

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Medical Back Problems w/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Brooke Grove Rehab &Nursing Ctr

Maryland

Nation

$480 $487

$300

$400

$500

$600

Brooke Grove Rehab &Nursing Ctr

Maryland

Brooke Grove Rehab & Nursing Ctr Avg Payment Per Day

$11,720 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Brooke Grove Rehab &Nursing Ctr

Maryland

Brooke Grove Rehab & Nursing Ctr Avg Payment Per Stay

317

Page 318: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Carriage Hill Bethesda

5215 Cedar Lane Number of Beds: 108Bethesda, MD Source: CMS Nursing Home Compare, data as of 4/2015

20814 Carriage Hill Bethesda ALOS: 29.8(301) 897-5500 Maryland Average ALOS: 24.3

Provider Number: 215234 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Carriage Hill Bethesda

Alzheimer's Care No 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Carriage Hill Bethesda

Compared to

Maryland

Average

0.6 37% Below 29% Below

2.7 12% Above 10% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.8%

9.2%

15.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Carriage Hill Bethesda

Maryland

Nation

318

Page 319: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCarriage Hill Bethesda Maryland Average

41.9

31.3

28.9

52.6

35.3

30.2

24.3

23.7

32.7

20.5

53.4

34.0

26.4

46.2

23.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Carriage Hill Bethesda

Maryland

Nation

$437 $487

$300

$400

$500

$600

Carriage Hill Bethesda Maryland

Carriage Hill Bethesda Avg Payment Per Day

$13,023 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Carriage Hill Bethesda Maryland

Carriage Hill Bethesda Avg Payment Per Stay

319

Page 320: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Collingswood Nursing & Rehab Ctr

299 Hurley Avenue Number of Beds: 160Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 Collingswood Nursing & Rehab Ctr ALOS: 19.9(301) 762-8900 Maryland Average ALOS: 24.3

Provider Number: 215092 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Collingswood Nursing &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Collingswood Nursing & Rehab

Ctr

Compared to

Maryland

Average

0.8 16% Below 6% Below

2.4 1% Below 3% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

12.0%

21.2%

36.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Collingswood Nursing& Rehab Ctr

Maryland

Nation

320

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.4% 18.2% 15.6%

Percent of residents who were physically

restrained1.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCollingswood Nursing & Rehab Ctr Maryland Average

28.3

34.4

24.6

29.3

28.9

22.8

29.5

23.0

25.7

23.7

14.3

14.9

15.3

25.4

19.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Simple Pneumonia & Pleurisy w/MCC

4) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

3) Heart Failure & Shock w/ MCC

2) Renal Failure w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Collingswood Nursing &Rehab Ctr

Maryland

Nation

$495 $487

$300

$400

$500

$600

Collingswood Nursing &Rehab Ctr

Maryland

Collingswood Nursing & Rehab Ctr Avg Payment Per Day

$9,865

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Collingswood Nursing &Rehab Ctr

Maryland

Collingswood Nursing & Rehab Ctr Avg Payment Per Stay

321

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County Name:

Facility: Fairland Ctr

2101 Fairland Road Number of Beds: 92Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20904 Fairland Ctr ALOS: 31.1(301) 384-6161 Maryland Average ALOS: 24.3

Provider Number: 215015 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fairland Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fairland Ctr

Compared to

Maryland

Average

1.0 4% Above 17% Above

2.4 1% Above 1% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

21.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fairland Ctr

Maryland

Nation

322

Page 323: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers18.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased29.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine87.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFairland Ctr Maryland Average

25.8

27.9

34.4

26.6

27.7

25.3

22.3

29.5

24.3

24.7

22.5

57.5

74.5

14.3

15.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0

5) Esophagitis, Gastroenteritis &Miscellaneous Digestive Disorders

w/o MCC

4) G.I. Hemorrhage w/ CC

3) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

2) Septicemia or Severe Sepsis w/Mechanical Ventilation 96+ Hours

1) Respiratory System Diagnosis w/Ventilator Support 96+ Hours

Fairland Ctr

Maryland

Nation

$496 $487

$300

$400

$500

$600

Fairland Ctr Maryland

Fairland Ctr Avg Payment Per Day

$15,397

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Fairland Ctr Maryland

Fairland Ctr Avg Payment Per Stay

323

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County Name:

Facility: Fox Chase Rehab & Nursing Ctr

2015 East-West Highway Number of Beds: 87Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20910 Fox Chase Rehab & Nursing Ctr ALOS: 39.1(301) 587-2400 Maryland Average ALOS: 24.3

Provider Number: 215197 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fox Chase Rehab & Nursing

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fox Chase Rehab & Nursing Ctr

Compared to

Maryland

Average

0.8 11% Below The Same

1.9 20% Below 21% Below

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fox Chase Rehab &Nursing Ctr

Maryland

Nation

324

Page 325: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased7.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFox Chase Rehab & Nursing Ctr Maryland Average

20.8

30.3

41.9

28.9

29.7

21.7

23.7

30.2

23.7

23.7

63.5

41.5

48.0

25.7

15.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Chronic Obstructive PulmonaryDisease w/ CC

4) Seizures w/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Simple Pneumonia & Pleurisy w/CC

Fox Chase Rehab &Nursing Ctr

Maryland

Nation

$496 $487

$300

$400

$500

$600

Fox Chase Rehab &Nursing Ctr

Maryland

Fox Chase Rehab & Nursing Ctr Avg Payment Per Day

$19,407

$11,840

$11,000 $13,000 $15,000 $17,000 $19,000 $21,000

Fox Chase Rehab &Nursing Ctr

Maryland

Fox Chase Rehab & Nursing Ctr Avg Payment Per Stay

325

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County Name:

Facility: Friends Nursing Home

17340 Quaker Lane Number of Beds: 82Sandy Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20860 Friends Nursing Home ALOS: 22.6(301) 924-4900 Maryland Average ALOS: 24.3

Provider Number: 215211 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Friends Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Friends Nursing Home

Compared to

Maryland

Average

0.8 10% Below 1% Above

3.6 50% Above 48% Above

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

13.8%

20.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Friends Nursing Home

Maryland

Nation

326

Page 327: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection7.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.1% 18.2% 15.6%

Percent of residents who were physically

restrained5.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFriends Nursing Home Maryland Average

27.8

49.1

24.6

52.6

35.3

20.8

31.5

23.0

32.7

20.5

13.6

21.4

23.2

36.1

21.9

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Other Kidney & Urinary TractDiagnoses w/ CC

4) Fracture, Sprain, Strain &Dislocation Except Femur, Hip,

Pelvis & Thigh w/o MCC

3) Heart Failure & Shock w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Friends Nursing Home

Maryland

Nation

$501 $487

$300

$400

$500

$600

Friends Nursing Home Maryland

Friends Nursing Home Avg Payment Per Day

$11,320 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Friends Nursing Home Maryland

Friends Nursing Home Avg Payment Per Stay

327

Page 328: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Hebrew Home of Greater Washington

6121 Montrose Road Number of Beds: 558Rockville , MD Source: CMS Nursing Home Compare, data as of 4/2015

20852 Hebrew Home of Greater Washington ALOS: 28.6(301) 881-0300 Maryland Average ALOS: 24.3

Provider Number: 215071 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Hebrew Home of Greater

Washington

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Hebrew Home of Greater

Washington

Compared to

Maryland

Average

0.8 17% Below 7% Below

3.0 23% Above 21% Above

3% 95% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.5%

9.8%

17.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Hebrew Home ofGreater Washington

Maryland

Nation

328

Page 329: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.0% 18.2% 15.6%

Percent of residents who were physically

restrained1.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHebrew Home of Greater Washington Maryland Average

24.6

32.9

52.6

35.3

28.9

23.0

24.6

32.7

20.5

23.7

22.6

31.8

33.9

25.5

23.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Hebrew Home of GreaterWashington

Maryland

Nation

$497 $487

$300

$400

$500

$600

Hebrew Home of GreaterWashington

Maryland

Hebrew Home of Greater Washington Avg Payment Per Day

$14,205

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Hebrew Home of GreaterWashington

Maryland

Hebrew Home of Greater Washington Avg Payment Per Stay

329

Page 330: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Sanctuary at Holy Cross

3415 Greencastle Road Number of Beds: 145Burtonsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20866 Sanctuary at Holy Cross ALOS: 26.1(301) 388-1400 Maryland Average ALOS: 24.3

Provider Number: 215315 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Sanctuary at Holy Cross

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Sanctuary at Holy Cross

Compared to

Maryland

Average

0.6 32% Below 23% Below

2.1 14% Below 15% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.4%

12.6%

23.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Sanctuary at HolyCross

Maryland

Nation

330

Page 331: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSanctuary at Holy Cross Maryland Average

33.0

31.3

32.9

35.3

28.9

32.3

24.3

24.6

20.5

23.7

32.8

37.2

18.8

23.0

25.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Rehabilitation w/ CC/MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Sanctuary at HolyCross

Maryland

Nation

$491 $487

$300

$400

$500

$600

Sanctuary at Holy Cross Maryland

Sanctuary at Holy Cross Avg Payment Per Day

$12,808 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Sanctuary at Holy Cross Maryland

Sanctuary at Holy Cross Avg Payment Per Stay

331

Page 332: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Ingleside at King Farm

701 King Farm Boulevard Number of Beds: 26Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 Ingleside at King Farm ALOS: 26.6(240) 499-9015 Maryland Average ALOS: 24.3

Provider Number: 215353 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Ingleside at King Farm

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Ingleside at King Farm

Compared to

Maryland

Average

1.2 25% Above 40% Above

3.1 27% Above 25% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Ingleside at King Farm

Maryland

Nation

332

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageIngleside at King Farm Maryland Average

27.4

23.8

41.9

27.9

38.4

23.3

22.3

30.2

22.3

27.8

23.5

20.0

15.5

25.0

53.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cardiac Arrhythmia &Conduction Disorders w/ CC

4) Heart Failure & Shock w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) G.I. Hemorrhage w/ CC

1) Intracranial Hemorrhage orCerebral Infarction w/ MCC

Ingleside at King Farm

Maryland

Nation

$510 $487

$300

$400

$500

$600

Ingleside at King Farm Maryland

Ingleside at King Farm Avg Payment Per Day

$13,552

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Ingleside at King Farm Maryland

Ingleside at King Farm Avg Payment Per Stay

333

Page 334: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Kensington Nursing & Rehab Ctr

3000 Mccomas Avenue Number of Beds: 140Kensington, MD Source: CMS Nursing Home Compare, data as of 4/2015

20895 Kensington Nursing & Rehab Ctr ALOS: 25.9(301) 933-0060 Maryland Average ALOS: 24.3

Provider Number: 215043 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Kensington Nursing & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Kensington Nursing & Rehab Ctr

Compared to

Maryland

Average

0.4 55% Below 49% Below

1.8 26% Below 27% Below

74% 23% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Kensington Nursing &Rehab Ctr

Maryland

Nation

334

Page 335: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.6% 18.2% 15.6%

Percent of residents who were physically

restrained2.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageKensington Nursing & Rehab Ctr Maryland Average

25.6

30.8

39.4

32.9

28.9

35.7

24.8

29.4

24.6

23.7

13.5

49.5

18.5

21.0

23.6

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Psychoses

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Degenerative Nervous SystemDisorders w/o MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Kensington Nursing &Rehab Ctr

Maryland

Nation

$433

$487

$300

$400

$500

$600

Kensington Nursing &Rehab Ctr

Maryland

Kensington Nursing & Rehab Ctr Avg Payment Per Day

$11,182 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Kensington Nursing &Rehab Ctr

Maryland

Kensington Nursing & Rehab Ctr Avg Payment Per Stay

335

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County Name:

Facility: Layhill Ctr

3227 Bel Pre Road Number of Beds: 129Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20906 Layhill Ctr ALOS: 18.2(301) 871-2000 Maryland Average ALOS: 24.3

Provider Number: 215168 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Layhill Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Layhill Ctr

Compared to

Maryland

Average

1.5 65% Above 84% Above

1.9 23% Below 24% Below

78% 30% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.3%

15.8%

30.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Layhill Ctr Maryland

Nation

336

Page 337: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLayhill Ctr Maryland Average

52.6

23.8

31.3

35.3

28.9

32.7

22.3

24.3

20.5

23.7

36.6

20.8

19.2

15.5

22.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Heart Failure & Shock w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Layhill Ctr

Maryland

Nation

$482 $487

$300

$400

$500

$600

Layhill Ctr Maryland

Layhill Ctr Avg Payment Per Day

$8,771

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Layhill Ctr Maryland

Layhill Ctr Avg Payment Per Stay

337

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County Name:

Facility: ManorCare - Chevy Chase

8700 Jones Mill Road Number of Beds: 172Chevy Chase, MD Source: CMS Nursing Home Compare, data as of 4/2015

20815 ManorCare - Chevy Chase ALOS: 23.2(301) 657-8686 Maryland Average ALOS: 24.3

Provider Number: 215029 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Chevy Chase

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Chevy Chase

Compared to

Maryland

Average

1.2 25% Above 40% Above

2.1 14% Below 15% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.9%

13.3%

20.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - ChevyChase

Maryland

Nation

338

Page 339: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Chevy Chase Maryland Average

29.8

35.3

32.9

31.3

28.9

26.7

20.5

24.6

24.3

23.7

18.5

14.0

25.4

20.1

32.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Cellulitis w/o MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - Chevy Chase

Maryland

Nation

$485 $487

$300

$400

$500

$600

ManorCare - ChevyChase

Maryland

ManorCare - Chevy Chase Avg Payment Per Day

$11,264 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - ChevyChase

Maryland

ManorCare - Chevy Chase Avg Payment Per Stay

339

Page 340: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: ManorCare - Wheaton

11901 Georgia Avenue Number of Beds: 94Wheaton, MD Source: CMS Nursing Home Compare, data as of 4/2015

20902 ManorCare - Wheaton ALOS: 14.1(301) 942-2500 Maryland Average ALOS: 24.3

Provider Number: 215048 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Wheaton

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Wheaton

Compared to

Maryland

Average

0.7 27% Below 18% Below

1.8 24% Below 25% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.5%

10.4%

20.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Wheaton

Maryland

Nation

340

Page 341: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.5% 18.2% 15.6%

Percent of residents who were physically

restrained1.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Wheaton Maryland Average

31.3

52.6

32.9

28.9

35.3

24.3

32.7

24.6

23.7

20.5

18.5

19.6

9.6

21.8

4.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

ManorCare - Wheaton

Maryland

Nation

$512 $487

$300

$400

$500

$600

ManorCare - Wheaton Maryland

ManorCare - Wheaton Avg Payment Per Day

$7,208

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

ManorCare - Wheaton Maryland

ManorCare - Wheaton Avg Payment Per Stay

341

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County Name:

Facility: ManorCare - Bethesda

6530 Democracy Boulevard Number of Beds: 110Bethesda, MD Source: CMS Nursing Home Compare, data as of 4/2015

20817 ManorCare - Bethesda ALOS: 26.1(301) 530-9000 Maryland Average ALOS: 24.3

Provider Number: 215095 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Bethesda

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Bethesda

Compared to

Maryland

Average

1.0 6% Above 19% Above

1.6 36% Below 36% Below

67% 12% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.6%

12.5%

18.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Bethesda

Maryland

Nation

342

Page 343: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine80.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Bethesda Maryland Average

29.3

28.9

24.6

29.0

35.3

25.7

23.7

23.0

22.9

20.5

14.8

31.0

39.4

18.0

29.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Heart Failure & Shock w/ MCC

2) Respiratory Infections &Inflammations w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

ManorCare - Bethesda

Maryland

Nation

$502 $487

$300

$400

$500

$600

ManorCare - Bethesda Maryland

ManorCare - Bethesda Avg Payment Per Day

$13,087 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Bethesda Maryland

ManorCare - Bethesda Avg Payment Per Stay

343

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County Name:

Facility: ManorCare - Potomac

10714 Potomac Tennis Lane Number of Beds: 158Potomac, MD Source: CMS Nursing Home Compare, data as of 4/2015

20854 ManorCare - Potomac ALOS: 23.2(301) 299-2273 Maryland Average ALOS: 24.3

Provider Number: 215171 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Potomac

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Potomac

Compared to

Maryland

Average

1.0 8% Above 21% Above

2.0 18% Below 19% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.3%

11.7%

19.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Potomac

Maryland

Nation

344

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Potomac Maryland Average

39.4

41.9

52.6

28.9

35.3

25.0

30.2

32.7

23.7

20.5

20.6

26.8

31.6

21.4

18.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Medical Back Problems w/o MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

ManorCare -Potomac

Maryland

Nation

$500 $487

$300

$400

$500

$600

ManorCare - Potomac Maryland

ManorCare - Potomac Avg Payment Per Day

$11,608 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Potomac Maryland

ManorCare - Potomac Avg Payment Per Stay

345

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County Name:

Facility: ManorCare - Silver Spring

2501 Musgrove Road Number of Beds: 148Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20904 ManorCare - Silver Spring ALOS: 26.6(301) 890-5552 Maryland Average ALOS: 24.3

Provider Number: 215224 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Silver Spring

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Silver Spring

Compared to

Maryland

Average

0.7 24% Below 15% Below

2.0 17% Below 18% Below

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

10.4%

23.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - SilverSpring

Maryland

Nation

346

Page 347: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased8.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Silver Spring Maryland Average

30.8

35.3

32.9

23.8

28.9

24.8

20.5

24.6

22.3

23.7

36.2

20.5

28.9

23.6

28.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Heart Failure & Shock w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - SilverSpring

Maryland

Nation

$521 $487

$300

$400

$500

$600

ManorCare - Silver Spring Maryland

ManorCare - Silver Spring Avg Payment Per Day

$13,843

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Silver Spring Maryland

ManorCare - Silver Spring Avg Payment Per Stay

347

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County Name:

Facility: Maplewood Park Place

9707 Old Georgetown Road Number of Beds: 31Bethesda, MD Source: CMS Nursing Home Compare, data as of 4/2015

20814 Maplewood Park Place ALOS: 21.6(301) 530-0500 Maryland Average ALOS: 24.3

Provider Number: 215287 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Maplewood Park Place

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Maplewood Park Place

Compared to

Maryland

Average

1.1 22% Above 36% Above

3.2 30% Above 29% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Maplewood ParkPlace

Maryland

Nation

348

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMaplewood Park Place Maryland Average

22.4

29.0

39.4

33.0

28.3

22.3

22.9

29.4

19.7

22.8

15.0

21.5

41.5

23.7

25.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Pulmonary Edema & RespiratoryFailure

4) Respiratory Infections &Inflammations w/ MCC

3) Degenerative Nervous SystemDisorders w/o MCC

2) Major Small & Large BowelProcedures w/ CC

1) Simple Pneumonia & Pleurisy w/MCC

Maplewood Park Place

Maryland

Nation

$516 $487

$300

$400

$500

$600

Maplewood Park Place Maryland

Maplewood Park Place Avg Payment Per Day

$11,125 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Maplewood Park Place Maryland

Maplewood Park Place Avg Payment Per Stay

349

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County Name:

Facility: Montgomery Village Health Care Ctr

19301 Watkins Mill Road Number of Beds: 147Gaithersburg, MD Source: CMS Nursing Home Compare, data as of 4/2015

20879 Montgomery Village Health Care Ctr ALOS: 28.0(301) 527-2500 Maryland Average ALOS: 24.3

Provider Number: 215272 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Montgomery Village Health

Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Montgomery Village Health Care

Ctr

Compared to

Maryland

Average

1.1 16% Above 30% Above

2.1 14% Below 15% Below

53% 12% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.5%

10.3%

18.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Montgomery VillageHealth Care Ctr

Maryland

Nation

350

Page 351: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine86.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMontgomery Village Health Care Ctr Maryland Average

35.5

32.9

39.4

28.9

35.3

23.5

24.6

25.0

23.7

20.5

26.6

30.5

31.8

25.1

26.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Nonspecific CerebrovascularDisorders w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Medical Back Problems w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Montgomery Village HealthCare Ctr

Maryland

Nation

$501 $487

$300

$400

$500

$600

Montgomery VillageHealth Care Ctr

Maryland

Montgomery Village Health Care Ctr Avg Payment Per Day

$14,043

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Montgomery VillageHealth Care Ctr

Maryland

Montgomery Village Health Care Ctr Avg Payment Per Stay

351

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County Name:

Facility: National Lutheran Home

9701 Veirs Drive Number of Beds: 150Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 National Lutheran Home ALOS: 23.5(301) 424-9560 Maryland Average ALOS: 24.3

Provider Number: 215125 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

National Lutheran Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

National Lutheran Home

Compared to

Maryland

Average

1.2 32% Above 47% Above

2.6 8% Above 7% Above

51% 15% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.1%5.0%

12.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

National LutheranHome

Maryland

Nation

352

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers0.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNational Lutheran Home Maryland Average

52.6

28.3

29.7

28.9

35.3

32.7

22.8

23.7

23.7

20.5

30.8

19.1

20.1

20.6

22.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Simple Pneumonia & Pleurisy w/MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

National Lutheran Home

Maryland

Nation

$535 $487

$300

$400

$500

$600

National Lutheran Home Maryland

National Lutheran Home Avg Payment Per Day

$12,555 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

National Lutheran Home Maryland

National Lutheran Home Avg Payment Per Stay

353

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County Name:

Facility: NMS Healthcare of Silver Spring

4011 Randolph Road Number of Beds: 112Wheaton, MD Source: CMS Nursing Home Compare, data as of 4/2015

20902 NMS Healthcare of Silver Spring ALOS: 22.6(301) 933-2500 Maryland Average ALOS: 24.3

Provider Number: 215025 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

NMS Healthcare of Silver

Spring

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

NMS Healthcare of Silver Spring

Compared to

Maryland

Average

0.8 12% Below 1% Below

3.2 31% Above 30% Above

62% 3% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.7%

18.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

NMS Healthcare ofSilver Spring

Maryland

Nation

354

Page 355: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased21.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNMS Healthcare of Silver Spring Maryland Average

32.9

29.7

31.3

33.8

28.9

24.6

23.7

24.3

25.8

23.7

42.0

31.0

27.6

19.5

25.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Simple Pneumonia & Pleurisy w/CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Kidney & Urinary Tract Infectionsw/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

NMS Healthcare ofSilver Spring

Maryland

Nation

$516 $487

$300

$400

$500

$600

NMS Healthcare of SilverSpring

Maryland

NMS Healthcare of Silver Spring Avg Payment Per Day

$11,674 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

NMS Healthcare of SilverSpring

Maryland

NMS Healthcare of Silver Spring Avg Payment Per Stay

355

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County Name:

Facility: Oakview Rehab & Nursing Ctr

2700 Barker Street Number of Beds: 138Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20910 Oakview Rehab & Nursing Ctr ALOS: 36.9(301) 565-0300 Maryland Average ALOS: 24.3

Provider Number: 215338 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Oakview Rehab & Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Oakview Rehab & Nursing Ctr

Compared to

Maryland

Average

0.7 30% Below 22% Below

2.0 19% Below 20% Below

54% 10% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Oakview Rehab &Nursing Ctr

Maryland

Nation

356

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

85.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine73.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageOakview Rehab & Nursing Ctr Maryland Average

41.9

39.4

30.2

22.4

28.9

30.2

29.4

25.4

22.3

23.7

25.0

28.5

21.7

30.7

34.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Degenerative Nervous SystemDisorders w/o MCC

3) Renal Failure w/ CC

2) Pulmonary Edema & RespiratoryFailure

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Oakview Rehab &Nursing Ctr

Maryland

Nation

$486 $487

$300

$400

$500

$600

Oakview Rehab & NursingCtr

Maryland

Oakview Rehab & Nursing Ctr Avg Payment Per Day

$17,926

$11,840

$11,000

$13,000

$15,000

$17,000

$19,000

Oakview Rehab & NursingCtr

Maryland

Oakview Rehab & Nursing Ctr Avg Payment Per Stay

357

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County Name:

Facility: Potomac Valley Nursing & Wellness

1235 Potomac Valley Road Number of Beds: 175Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 Potomac Valley Nursing & Wellness ALOS: 24.4(301) 762-0700 Maryland Average ALOS: 24.3

Provider Number: 215026 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Potomac Valley Nursing &

Wellness

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Potomac Valley Nursing &

Wellness

Compared to

Maryland

Average

1.1 13% Above 26% Above

2.3 6% Below 7% Below

57% 5% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

7.9%

16.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Potomac ValleyNursing & Wellness

Maryland

Nation

358

Page 359: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePotomac Valley Nursing & Wellness Maryland Average

25.6

38.6

31.3

35.3

28.9

35.7

26.8

24.3

20.5

23.7

24.6

16.6

21.8

15.2

29.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Psychoses

4) Organic Disturbances & MentalRetardation

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Potomac Valley Nursing& Wellness

Maryland

Nation

$487 $487

$300

$400

$500

$600

Potomac Valley Nursing &Wellness

Maryland

Potomac Valley Nursing & Wellness Avg Payment Per Day

$11,876 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Potomac Valley Nursing &Wellness

Maryland

Potomac Valley Nursing & Wellness Avg Payment Per Stay

359

Page 360: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Rockville Nursing Home

303 Adclare Road Number of Beds: 100Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 Rockville Nursing Home ALOS: 26.0(301) 279-9000 Maryland Average ALOS: 24.3

Provider Number: 215107 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Rockville Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Rockville Nursing Home

Compared to

Maryland

Average

1.1 15% Above 29% Above

4.3 79% Above 77% Above

47% 22% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

14.4%

22.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Rockville NursingHome

Maryland

Nation

360

Page 361: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRockville Nursing Home Maryland Average

41.9

32.9

35.3

29.7

28.9

30.2

24.6

20.5

23.7

23.7

60.0

24.7

28.0

17.7

28.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Simple Pneumonia & Pleurisy w/CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Rockville Nursing Home

Maryland

Nation

$529 $487

$300

$400

$500

$600

Rockville Nursing Home Maryland

Rockville Nursing Home Avg Payment Per Day

$13,762

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Rockville Nursing Home Maryland

Rockville Nursing Home Avg Payment Per Stay

361

Page 362: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Shady Grove Ctr

9701 Medical Center Drive Number of Beds: 134Rockville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20850 Shady Grove Ctr ALOS: 23.1(301) 315-1900 Maryland Average ALOS: 24.3

Provider Number: 215164 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Shady Grove Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Shady Grove Ctr

Compared to

Maryland

Average

0.7 24% Below 15% Below

2.0 19% Below 20% Below

79% 32% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

10.1%

18.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Shady Grove Ctr

Maryland

Nation

362

Page 363: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.8% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

53.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageShady Grove Ctr Maryland Average

24.6

31.3

29.7

28.9

35.3

23.0

24.3

23.7

23.7

20.5

21.9

28.1

24.8

22.0

19.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Heart Failure & Shock w/ MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Shady Grove Ctr

Maryland

Nation

$507 $487

$300

$400

$500

$600

Shady Grove Ctr Maryland

Shady Grove Ctr Avg Payment Per Day

$11,735 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Shady Grove Ctr Maryland

Shady Grove Ctr Avg Payment Per Stay

363

Page 364: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Sligo Creek Ctr

7525 Carroll Avenue Number of Beds: 102Takoma Park, MD Source: CMS Nursing Home Compare, data as of 4/2015

20912 Sligo Creek Ctr ALOS: 28.5(301) 270-4200 Maryland Average ALOS: 24.3

Provider Number: 215327 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Sligo Creek Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Sligo Creek Ctr

Compared to

Maryland

Average

0.7 28% Below 19% Below

2.2 9% Below 11% Below

72% 20% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

12.8%

19.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Sligo Creek Ctr

Maryland

Nation

364

Page 365: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSligo Creek Ctr Maryland Average

27.4

22.4

32.9

23.8

28.9

23.3

22.3

24.6

22.3

23.7

44.2

21.4

13.5

22.0

28.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Cardiac Arrhythmia &Conduction Disorders w/ CC

4) Pulmonary Edema & RespiratoryFailure

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Heart Failure & Shock w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Sligo Creek Ctr

Maryland

Nation

$484 $487

$300

$400

$500

$600

Sligo Creek Ctr Maryland

Sligo Creek Ctr Avg Payment Per Day

$13,773

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Sligo Creek Ctr Maryland

Sligo Creek Ctr Avg Payment Per Stay

365

Page 366: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Springbrook Ctr

12325 New Hampshire Avenue Number of Beds: 99Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20904 Springbrook Ctr ALOS: 23.5(301) 622-4600 Maryland Average ALOS: 24.3

Provider Number: 215052 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Springbrook Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Springbrook Ctr

Compared to

Maryland

Average

0.7 27% Below 18% Below

1.7 29% Below 30% Below

64% 7% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.2%

19.4%

35.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Springbrook Ctr

Maryland

Nation

366

Page 367: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased46.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSpringbrook Ctr Maryland Average

29.3

38.4

27.8

30.1

28.9

25.7

27.8

23.8

24.0

23.7

23.3

22.0

29.8

16.1

25.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ MCC

3) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/ MCC

2) Other Vascular Procedures w/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Springbrook Ctr

Maryland

Nation

$456 $487

$300

$400

$500

$600

Springbrook Ctr Maryland

Springbrook Ctr Avg Payment Per Day

$10,734 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Springbrook Ctr Maryland

Springbrook Ctr Avg Payment Per Stay

367

Page 368: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Wilson Health Care Ctr

301 Russell Avenue Number of Beds: 288Gaithersburg, MD Source: CMS Nursing Home Compare, data as of 4/2015

20877 Wilson Health Care Ctr ALOS: 23.6(301) 330-3000 Maryland Average ALOS: 24.3

Provider Number: 215099 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Wilson Health Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Wilson Health Care Ctr

Compared to

Maryland

Average

1.0 4% Above 17% Above

3.1 28% Above 26% Above

61% 2% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.3%

9.6%

18.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Wilson Health CareCtr

Maryland

Nation

368

Page 369: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.6% 18.2% 15.6%

Percent of residents who were physically

restrained1.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWilson Health Care Ctr Maryland Average

23.8

24.6

29.7

28.9

35.3

22.3

23.0

23.7

23.7

20.5

20.5

21.5

21.3

28.0

22.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Heart Failure & Shock w/ CC

4) Heart Failure & Shock w/ MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Wilson Health Care Ctr

Maryland

Nation

$477 $487

$300

$400

$500

$600

Wilson Health Care Ctr Maryland

Wilson Health Care Ctr Avg Payment Per Day

$11,270 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Wilson Health Care Ctr Maryland

Wilson Health Care Ctr Avg Payment Per Stay

369

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County Name:

Facility: Woodside Ctr

9101 Second Avenue Number of Beds: 92Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20910 Woodside Ctr ALOS: 31.3(301) 588-5544 Maryland Average ALOS: 24.3

Provider Number: 215060 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Woodside Ctr

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Woodside Ctr

Compared to

Maryland

Average

1.0 4% Above 16% Above

1.9 22% Below 23% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Montgomery County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

20.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Woodside Ctr

Maryland

Nation

370

Page 371: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWoodside Ctr Maryland Average

28.9

37.1

41.9

35.3

21.9

23.7

25.5

30.2

20.5

21.2

26.0

49.7

68.7

23.5

17.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Chronic Obstructive PulmonaryDisease w/ MCC

Woodside Ctr

Maryland

Nation

$476 $487

$300

$400

$500

$600

Woodside Ctr Maryland

Woodside Ctr Avg Payment Per Day

$14,906

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Woodside Ctr Maryland

Woodside Ctr Avg Payment Per Stay

371

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County Name:

Facility: Bradford Oaks Ctr

7520 Surratts Road Number of Beds: 180Clinton, MD Source: CMS Nursing Home Compare, data as of 4/2015

20735 Bradford Oaks Ctr ALOS: 27.8(301) 856-1660 Maryland Average ALOS: 24.3

Provider Number: 215165 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bradford Oaks Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Bradford Oaks Ctr

Compared to

Maryland

Average

0.5 46% Below 40% Below

2.3 6% Below 7% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.5%

9.7%

18.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Bradford Oaks Ctr

Maryland

Nation

372

Page 373: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

84.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBradford Oaks Ctr Maryland Average

29.3

38.4

30.2

35.3

28.9

25.7

27.8

25.4

20.5

23.7

19.6

35.3

27.3

36.4

29.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ MCC

3) Renal Failure w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Bradford Oaks Ctr

Maryland

Nation

$481 $487

$300

$400

$500

$600

Bradford Oaks Ctr Maryland

Bradford Oaks Ctr Avg Payment Per Day

$13,361

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Bradford Oaks Ctr Maryland

Bradford Oaks Ctr Avg Payment Per Stay

373

Page 374: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Cherry Lane

9001 Cherry Lane Number of Beds: 155Laurel, MD Source: CMS Nursing Home Compare, data as of 4/2015

20708 Cherry Lane ALOS: 27.5(301) 498-8558 Maryland Average ALOS: 24.3

Provider Number: 215177 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Cherry Lane

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Cherry Lane

Compared to

Maryland

Average

0.7 24% Below 15% Below

1.8 25% Below 26% Below

67% 12% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.0%

16.8%

26.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Cherry Lane

Maryland

Nation

374

Page 375: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.8% 18.2% 15.6%

Percent of residents who were physically

restrained1.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCherry Lane Maryland Average

24.6

33.0

35.3

31.3

28.9

23.0

32.3

20.5

24.3

23.7

17.9

35.8

29.3

26.6

21.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Heart Failure & Shock w/ MCC

4) Rehabilitation w/ CC/MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Cherry Lane Maryland

Nation

$519 $487

$300

$400

$500

$600

Cherry Lane Maryland

Cherry Lane Avg Payment Per Day

$14,243

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Cherry Lane Maryland

Cherry Lane Avg Payment Per Stay

375

Page 376: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Clinton Nursing & Rehab Ctr

9211 Stuart Lane Number of Beds: 267Clinton, MD Source: CMS Nursing Home Compare, data as of 4/2015

20735 Clinton Nursing & Rehab Ctr ALOS: 24.5(301) 868-3600 Maryland Average ALOS: 24.3

Provider Number: 215231 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Clinton Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Clinton Nursing & Rehab Ctr

Compared to

Maryland

Average

0.5 51% Below 45% Below

2.1 15% Below 16% Below

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

15.2%

24.3%

40.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Within 7 Days Within 15 Days Within 30 Days

Clinton Nursing &Rehab Ctr

Maryland

Nation

376

Page 377: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.5% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers11.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageClinton Nursing & Rehab Ctr Maryland Average

29.3

24.2

24.6

28.9

30.1

25.7

20.3

23.0

23.7

24.0

32.3

21.0

27.8

20.0

19.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Renal Failure w/ MCC

4) Other Circulatory SystemDiagnoses w/ MCC

3) Heart Failure & Shock w/ MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Other Vascular Procedures w/MCC

Clinton Nursing & RehabCtr

Maryland

Nation

$490 $487

$300

$400

$500

$600

Clinton Nursing & RehabCtr

Maryland

Clinton Nursing & Rehab Ctr Avg Payment Per Day

$12,011 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Clinton Nursing & RehabCtr

Maryland

Clinton Nursing & Rehab Ctr Avg Payment Per Stay

377

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County Name:

Facility: Collington Episcopal Life Care

10450 Lottsford Road Number of Beds: 44Mitchellville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20721 Collington Episcopal Life Care ALOS: 21.4(301) 925-9610 Maryland Average ALOS: 24.3

Provider Number: 215180 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Collington Episcopal Life Care

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Collington Episcopal Life Care

Compared to

Maryland

Average

1.5 57% Above 76% Above

2.5 5% Above 3% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

7.3%

14.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Collington EpiscopalLife Care

Maryland

Nation

378

Page 379: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection24.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCollington Episcopal Life Care Maryland Average

52.6

28.9

29.7

32.9

35.3

32.7

23.7

23.7

24.6

20.5

17.6

27.5

14.5

21.0

23.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Collington EpiscopalLife Care

Maryland

Nation

$551

$487

$300

$400

$500

$600

Collington Episcopal LifeCare

Maryland

Collington Episcopal Life Care Avg Payment Per Day

$11,795 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Collington Episcopal LifeCare

Maryland

Collington Episcopal Life Care Avg Payment Per Stay

379

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County Name:

Facility: Crescent Cities Ctr

4409 East West Highway Number of Beds: 140Riverdale, MD Source: CMS Nursing Home Compare, data as of 4/2015

20737 Crescent Cities Ctr ALOS: 14.5(301) 699-2000 Maryland Average ALOS: 24.3

Provider Number: 215323 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Crescent Cities Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Crescent Cities Ctr

Compared to

Maryland

Average

0.7 25% Below 16% Below

2.0 17% Below 18% Below

72% 20% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.5%

16.9%

26.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Crescent Cities Ctr

Maryland

Nation

380

Page 381: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased21.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCrescent Cities Ctr Maryland Average

35.3

52.6

23.8

28.9

41.9

20.5

32.7

22.3

23.7

30.2

11.0

18.0

15.3

15.1

14.2

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Heart Failure & Shock w/ CC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Crescent Cities Ctr

Maryland

Nation

$496 $487

$300

$400

$500

$600

Crescent Cities Ctr Maryland

Crescent Cities Ctr Avg Payment Per Day

$7,168

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Crescent Cities Ctr Maryland

Crescent Cities Ctr Avg Payment Per Stay

381

Page 382: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Forestville Health & Rehab Ctr

7420 Marlboro Pike Number of Beds: 160Forestville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20747 Forestville Health & Rehab Ctr ALOS: 25.9(301) 736-0240 Maryland Average ALOS: 24.3

Provider Number: 215020 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Forestville Health & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Forestville Health & Rehab Ctr

Compared to

Maryland

Average

0.6 35% Below 27% Below

2.2 11% Below 12% Below

79% 32% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

18.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Forestville Health &Rehab Ctr

Maryland

Nation

382

Page 383: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageForestville Health & Rehab Ctr Maryland Average

38.4

30.8

24.6

41.9

28.9

27.8

26.7

23.0

30.2

23.7

26.5

30.8

28.6

24.0

18.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ MCC

4) Peripheral Vascular Disorders w/CC

3) Heart Failure & Shock w/ MCC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Forestville Health &Rehab Ctr

Maryland

Nation

$530 $487

$300

$400

$500

$600

Forestville Health &Rehab Ctr

Maryland

Forestville Health & Rehab Ctr Avg Payment Per Day

$13,752

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Forestville Health &Rehab Ctr

Maryland

Forestville Health & Rehab Ctr Avg Payment Per Stay

383

Page 384: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Fort Washington Health & Rehab Ctr

12021 Livingston Road Number of Beds: 150Fort Washington, MD Source: CMS Nursing Home Compare, data as of 4/2015

20744 Fort Washington Health & Rehab Ctr ALOS: 25.1(301) 292-0300 Maryland Average ALOS: 24.3

Provider Number: 215146 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fort Washington Health &

Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fort Washington Health & Rehab

Ctr

Compared to

Maryland

Average

0.5 43% Below 36% Below

1.8 25% Below 26% Below

69% 15% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.2%

10.5%

19.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fort WashingtonHealth & Rehab Ctr

Maryland

Nation

384

Page 385: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased21.6% 18.2% 15.6%

Percent of residents who were physically

restrained5.5% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine92.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFort Washington Health & Rehab Ctr Maryland Average

30.2

23.8

41.9

35.3

32.9

25.4

22.3

30.2

20.5

24.6

27.9

24.0

28.0

17.1

27.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ CC

4) Heart Failure & Shock w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

Fort WashingtonHealth & Rehab Ctr

Maryland

Nation

$547

$487

$300

$400

$500

$600

Fort Washington Health &Rehab Ctr

Maryland

Fort Washington Health & Rehab Ctr Avg Payment Per Day

$13,711

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Fort Washington Health &Rehab Ctr

Maryland

Fort Washington Health & Rehab Ctr Avg Payment Per Stay

385

Page 386: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Future Care Pineview

9106 Pineview Lane Number of Beds: 192Clinton, MD Source: CMS Nursing Home Compare, data as of 4/2015

20735 Future Care Pineview ALOS: 22.0(410) 880-4353 Maryland Average ALOS: 24.3

Provider Number: 215328 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Future Care Pineview

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Future Care Pineview

Compared to

Maryland

Average

1.4 49% Above 67% Above

3.0 25% Above 23% Above

49% 18% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

7.2%

12.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Future Care Pineview

Maryland

Nation

386

Page 387: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers18.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased14.6% 18.2% 15.6%

Percent of residents who were physically

restrained2.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFuture Care Pineview Maryland Average

27.7

38.4

38.1

34.4

28.9

24.7

27.8

31.3

29.5

23.7

28.4

16.4

21.6

48.9

17.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Respiratory System Diagnosis w/Ventilator Support 96+ Hours

4) Intracranial Hemorrhage orCerebral Infarction w/ MCC

3) ECMO or Trach w/ MechanicalVentilation 96+ Hrs or Primary

Diagnosis Except Face, Mouth &Neck w/ Major O.R.

2) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Future Care Pineview

Maryland

Nation

$573

$487

$400

$500

$600

$700

Future Care Pineview Maryland

Future Care Pineview Avg Payment Per Day

$12,601 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Future Care Pineview Maryland

Future Care Pineview Avg Payment Per Stay

387

Page 388: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Hillhaven Nursing Ctr

3210 Powder Mill Road Number of Beds: 66Adelphi, MD Source: CMS Nursing Home Compare, data as of 4/2015

20783 Hillhaven Nursing Ctr ALOS: 23.1(301) 937-3939 Maryland Average ALOS: 24.3

Provider Number: 215212 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Hillhaven Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Hillhaven Nursing Ctr

Compared to

Maryland

Average

1.5 58% Above 77% Above

3.5 45% Above 43% Above

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.4%

10.1%

12.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Hillhaven Nursing Ctr

Maryland

Nation

388

Page 389: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased3.3% 18.2% 15.6%

Percent of residents who were physically

restrained4.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHillhaven Nursing Ctr Maryland Average

32.9

52.6

41.9

38.4

35.3

24.6

32.7

30.2

27.8

20.5

19.6

34.2

28.4

30.6

19.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Intracranial Hemorrhage orCerebral Infarction w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Hillhaven Nursing Ctr

Maryland

Nation

$426

$487

$300

$400

$500

$600

Hillhaven Nursing Ctr Maryland

Hillhaven Nursing Ctr Avg Payment Per Day

$9,844

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Hillhaven Nursing Ctr Maryland

Hillhaven Nursing Ctr Avg Payment Per Stay

389

Page 390: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Larkin Chase Ctr

15005 Health Center Drive Number of Beds: 120Bowie, MD Source: CMS Nursing Home Compare, data as of 4/2015

20716 Larkin Chase Ctr ALOS: 25.5(301) 805-6070 Maryland Average ALOS: 24.3

Provider Number: 215264 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Larkin Chase Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Larkin Chase Ctr

Compared to

Maryland

Average

0.5 50% Below 44% Below

1.8 27% Below 28% Below

80% 33% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.6%

13.9%

23.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Larkin Chase Ctr

Maryland

Nation

390

Page 391: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.1% 18.2% 15.6%

Percent of residents who were physically

restrained4.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine93.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageLarkin Chase Ctr Maryland Average

30.8

41.9

32.9

28.9

35.3

24.8

30.2

24.6

23.7

20.5

39.4

36.9

17.8

23.6

21.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Larkin Chase Ctr

Maryland

Nation

$516 $487

$300

$400

$500

$600

Larkin Chase Ctr Maryland

Larkin Chase Ctr Avg Payment Per Day

$13,140 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Larkin Chase Ctr Maryland

Larkin Chase Ctr Avg Payment Per Stay

391

Page 392: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Magnolia Ctr

8200 Good Luck Road Number of Beds: 104Lanham, MD Source: CMS Nursing Home Compare, data as of 4/2015

20706 Magnolia Ctr ALOS: 26.8(301) 552-2000 Maryland Average ALOS: 24.3

Provider Number: 215108 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Magnolia Ctr

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Magnolia Ctr

Compared to

Maryland

Average

0.9 5% Below 6% Above

2.1 11% Below 12% Below

71% 18% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.4%

13.7%

27.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Magnolia Ctr

Maryland

Nation

392

Page 393: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.5% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.9% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine91.9% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMagnolia Ctr Maryland Average

32.9

24.6

23.8

35.3

28.9

24.6

23.0

22.3

20.5

23.7

17.0

13.8

16.4

28.5

16.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Heart Failure & Shock w/ MCC

3) Heart Failure & Shock w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Magnolia Ctr Maryland

Nation

$538 $487

$300

$400

$500

$600

Magnolia Ctr Maryland

Magnolia Ctr Avg Payment Per Day

$14,418

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Magnolia Ctr Maryland

Magnolia Ctr Avg Payment Per Stay

393

Page 394: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: ManorCare - Hyattsville

6500 Riggs Road Number of Beds: 160Hyattsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20783 ManorCare - Hyattsville ALOS: 25.8(301) 559-0300 Maryland Average ALOS: 24.3

Provider Number: 215024 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Hyattsville

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Hyattsville

Compared to

Maryland

Average

0.8 12% Below 2% Below

1.9 21% Below 22% Below

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.0%

12.8%

26.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare -Hyattsville

Maryland

Nation

394

Page 395: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection0.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased17.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Hyattsville Maryland Average

38.4

35.3

28.3

28.9

32.9

27.8

20.5

22.8

23.7

24.6

31.5

29.0

8.0

36.2

18.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Simple Pneumonia & Pleurisy w/MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Kidney & Urinary Tract Infectionsw/o MCC

ManorCare - Hyattsville

Maryland

Nation

$488 $487

$300

$400

$500

$600

ManorCare - Hyattsville Maryland

ManorCare - Hyattsville Avg Payment Per Day

$12,556 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Hyattsville Maryland

ManorCare - Hyattsville Avg Payment Per Stay

395

Page 396: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: ManorCare - Largo

600 Largo Road Number of Beds: 130Glenarden, MD Source: CMS Nursing Home Compare, data as of 4/2015

20774 ManorCare - Largo ALOS: 26.6(301) 350-5555 Maryland Average ALOS: 24.3

Provider Number: 215331 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Largo

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Largo

Compared to

Maryland

Average

1.0 4% Above 16% Above

1.8 25% Below 26% Below

74% 23% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.8%

10.4%

19.1%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Largo

Maryland

Nation

396

Page 397: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.8% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Largo Maryland Average

41.9

24.6

34.6

32.9

28.9

30.2

23.0

28.8

24.6

23.7

31.4

23.6

34.4

31.5

19.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Heart Failure & Shock w/ MCC

3) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - Largo

Maryland

Nation

$505 $487

$300

$400

$500

$600

ManorCare - Largo Maryland

ManorCare - Largo Avg Payment Per Day

$13,454

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Largo Maryland

ManorCare - Largo Avg Payment Per Stay

397

Page 398: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: ManorCare - Adelphi

1801 Metzerott Road Number of Beds: 135Adelphi, MD Source: CMS Nursing Home Compare, data as of 4/2015

20783 ManorCare - Adelphi ALOS: 21.0(301) 434-0500 Maryland Average ALOS: 24.3

Provider Number: 215064 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

ManorCare - Adelphi

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

ManorCare - Adelphi

Compared to

Maryland

Average

0.8 9% Below 2% Above

2.0 18% Below 20% Below

81% 35% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.3%

17.0%

26.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

ManorCare - Adelphi

Maryland

Nation

398

Page 399: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased25.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageManorCare - Adelphi Maryland Average

26.2

29.3

24.6

24.2

28.9

22.2

25.7

23.0

20.3

23.7

24.0

23.5

18.5

14.7

25.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Red Blood Cell Disorders w/MCC

4) Renal Failure w/ MCC

3) Heart Failure & Shock w/ MCC

2) Other Circulatory SystemDiagnoses w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

ManorCare - Adelphi

Maryland

Nation

$564

$487

$300

$400

$500

$600

ManorCare - Adelphi Maryland

ManorCare - Adelphi Avg Payment Per Day

$11,860 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

ManorCare - Adelphi Maryland

ManorCare - Adelphi Avg Payment Per Stay

399

Page 400: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Medstar Southern Maryland Hospital Ctr

7503 Surratts Road Number of Beds: 4Clinton, MD Source: CMS Nursing Home Compare, data as of 4/2015 2420735 Medstar Southern Maryland Hospital Ctr ALOS:

(301) 868-8000 Maryland Average ALOS: 18.9Provider Number: 215358 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data 24.3

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Medstar Southern Maryland

Hospital Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Medstar Southern Maryland

Hospital Ctr

Compared to

Maryland

Average

2.2 140% Above 169% Above

2.9 21% Above 19% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

7.4%

14.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Medstar SouthernMaryland Hospital Ctr

Maryland

Nation

400

Page 401: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injuryNot Available 2.7% 3.2%

Percent of residents with a urinary tract

infectionNot Available 4.8% 5.7%

Percent of who self report moderate to severe

painNot Available 4.9% 7.4%

Percent of high risk residents with pressure

ulcersNot Available 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladderNot Available 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increasedNot Available 18.2% 15.6%

Percent of residents who were physically

restrainedNot Available 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

Not Available 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccineNot Available 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageMedstar Southern Maryland Hospital Ctr Maryland Average

52.6

24.6

41.8

41.9

35.3

32.7

23.0

24.0

30.2

20.5

20.9

12.9

17.5

20.9

12.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Heart Failure & Shock w/ MCC

3) Major Joint Replacement orReattachment of Lower Extremity

w/ MCC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Medstar Southern MarylandHospital Ctr

Maryland

Nation

$414

$487

$300

$400

$500

$600

Medstar SouthernMaryland Hospital Ctr

Maryland

Medstar Southern Maryland Hospital Ctr Avg Payment Per Day

$7,835

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Medstar SouthernMaryland Hospital Ctr

Maryland

Medstar Southern Maryland Hospital Ctr Avg Payment Per Stay

401

Page 402: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Patuxent River Health & Rehab Ctr

14200 Laurel Park Drive Number of Beds: 139Laurel, MD Source: CMS Nursing Home Compare, data as of 4/2015

20707 Patuxent River Health & Rehab Ctr ALOS: 30.7(301) 953-7980 Maryland Average ALOS: 24.3

Provider Number: 215141 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Patuxent River Health & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Patuxent River Health & Rehab

Ctr

Compared to

Maryland

Average

0.7 26% Below 18% Below

1.9 20% Below 21% Below

40% 33% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

11.2%

20.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Patuxent River Health& Rehab Ctr

Maryland

Nation

402

Page 403: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers10.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AveragePatuxent River Health & Rehab Ctr Maryland Average

52.6

35.3

38.4

33.0

28.9

32.7

20.5

27.8

32.3

23.7

35.7

21.3

30.7

37.5

28.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Rehabilitation w/ CC/MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Patuxent River Health &Rehab Ctr

Maryland

Nation

$519 $487

$300

$400

$500

$600

Patuxent River Health &Rehab Ctr

Maryland

Patuxent River Health & Rehab Ctr Avg Payment Per Day

$15,928

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Patuxent River Health &Rehab Ctr

Maryland

Patuxent River Health & Rehab Ctr Avg Payment Per Stay

403

Page 404: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Riderwood Village

3160 Gracefield Road Number of Beds: 117Silver Spring, MD Source: CMS Nursing Home Compare, data as of 4/2015

20904 Riderwood Village ALOS: 24.2(301) 572-8420 Maryland Average ALOS: 24.3

Provider Number: 215343 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Riderwood Village

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Riderwood Village

Compared to

Maryland

Average

1.0 10% Above 24% Above

2.9 20% Above 18% Above

54% 10% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.3%

6.3%

11.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Riderwood Village

Maryland

Nation

404

Page 405: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased12.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRiderwood Village Maryland Average

23.8

41.9

28.9

52.6

35.3

22.3

30.2

23.7

32.7

20.5

24.3

31.5

23.2

34.2

19.5

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Heart Failure & Shock w/ CC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Riderwood Village

Maryland

Nation

$513 $487

$300

$400

$500

$600

Riderwood Village Maryland

Riderwood Village Avg Payment Per Day

$12,421 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Riderwood Village Maryland

Riderwood Village Avg Payment Per Stay

405

Page 406: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: St. Thomas More Medical Complex

4922 Lasalle Road Number of Beds: 260Hyattsville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20782 St. Thomas More Medical Complex ALOS: 34.0(301) 864-2333 Maryland Average ALOS: 24.3

Provider Number: 215145 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

St. Thomas More Medical

Complex

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

St. Thomas More Medical

Complex

Compared to

Maryland

Average

1.6 74% Above 95% Above

3.3 35% Above 33% Above

36% 40% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

8.1%

17.3%

28.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

St. Thomas MoreMedical Complex

Maryland

Nation

406

Page 407: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain6.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers15.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.7% 18.2% 15.6%

Percent of residents who were physically

restrained2.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSt. Thomas More Medical Complex Maryland Average

34.4

27.7

30.1

34.6

28.9

29.5

24.7

24.0

28.8

23.7

33.1

28.6

37.6

42.3

23.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Trach w/ Mechanical Ventilation96+ Hrs or Primary Diagnosis

Except Face, Mouth & Neck w/oMajor O.R.

4) Respiratory System Diagnosis w/Ventilator Support 96+ Hours

3) Other Vascular Procedures w/MCC

2) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

St. Thomas MoreMedical Complex

Maryland

Nation

$597

$487

$300

$400

$500

$600

$700

St. Thomas More MedicalComplex

Maryland

St. Thomas More Medical Complex Avg Payment Per Day

$20,280

$11,840

$10,000

$14,000

$18,000

$22,000

St. Thomas More MedicalComplex

Maryland

St. Thomas More Medical Complex Avg Payment Per Stay

407

Page 408: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Villa Rosa Nursing & Rehab

3800 Lottsford Vista Road Number of Beds: 101Mitchellville, MD Source: CMS Nursing Home Compare, data as of 4/2015

20721 Villa Rosa Nursing & Rehab ALOS: 29.6(301) 459-4700 Maryland Average ALOS: 24.3

Provider Number: 215350 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Villa Rosa Nursing & Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Villa Rosa Nursing & Rehab

Compared to

Maryland

Average

0.7 21% Below 12% Below

2.7 13% Above 11% Above

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Prince George's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.7%

7.3%

15.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Villa Rosa Nursing &Rehab

Maryland

Nation

408

Page 409: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.9% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.5% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageVilla Rosa Nursing & Rehab Maryland Average

38.4

32.9

39.4

35.3

28.9

27.8

24.6

25.0

20.5

23.7

17.6

25.2

35.5

23.8

25.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Medical Back Problems w/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Villa Rosa Nursing & Rehab

Maryland

Nation

$507 $487

$300

$400

$500

$600

Villa Rosa Nursing &Rehab

Maryland

Villa Rosa Nursing & Rehab Avg Payment Per Day

$15,028

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Villa Rosa Nursing &Rehab

Maryland

Villa Rosa Nursing & Rehab Avg Payment Per Stay

409

Page 410: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Corsica Hills Ctr

205 Armstrong Avenue P.O. Box 50 Number of Beds: 120Centreville, MD Source: CMS Nursing Home Compare, data as of 4/2015

21617 Corsica Hills Ctr ALOS: 24.3(410) 758-2323 Maryland Average ALOS: 24.3

Provider Number: 215114 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Corsica Hills Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Corsica Hills Ctr

Compared to

Maryland

Average

1.0 10% Above 23% Above

1.9 20% Below 21% Below

66% 10% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Queen Anne's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.1%

7.0%

15.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Corsica Hills Ctr

Maryland

Nation

410

Page 411: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine81.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCorsica Hills Ctr Maryland Average

28.9

30.8

32.9

33.0

35.3

23.7

24.8

24.6

32.3

20.5

22.0

20.0

17.8

38.3

22.4

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Miscellaneous Disorders ofNutrition, Metabolism,

Fluids/Electrolytes w/o MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Rehabilitation w/ CC/MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Corsica Hills Ctr

Maryland

Nation

$504 $487

$300

$400

$500

$600

Corsica Hills Ctr Maryland

Corsica Hills Ctr Avg Payment Per Day

$12,244 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Corsica Hills Ctr Maryland

Corsica Hills Ctr Avg Payment Per Stay

411

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County Name:

Facility: Charlotte Hall Veterans Home

29449 Charlotte Hall Road Number of Beds: 286Charlotte Hall, MD Source: CMS Nursing Home Compare, data as of 4/2015

20622 Charlotte Hall Veterans Home ALOS: 20.8(301) 884-8171 Maryland Average ALOS: 24.3

Provider Number: 215161 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Charlotte Hall Veterans Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Charlotte Hall Veterans Home

Compared to

Maryland

Average

0.6 32% Below 24% Below

2.8 15% Above 13% Above

81% 35% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Saint Mary's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.9%

9.1%

15.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Charlotte HallVeterans Home

Maryland

Nation

412

Page 413: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.6% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.9% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased22.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCharlotte Hall Veterans Home Maryland Average

32.9

29.7

30.2

30.7

28.9

24.6

23.7

25.4

24.5

23.7

19.0

16.5

18.4

19.0

25.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) Kidney & Urinary Tract Infectionsw/o MCC

4) Simple Pneumonia & Pleurisy w/CC

3) Renal Failure w/ CC

2) Respiratory Infections &Inflammations w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Charlotte Hall VeteransHome

Maryland

Nation

$375

$487

$300

$400

$500

$600

Charlotte Hall VeteransHome

Maryland

Charlotte Hall Veterans Home Avg Payment Per Day

$7,798

$11,840

$7,000

$9,000

$11,000

$13,000

$15,000

Charlotte Hall VeteransHome

Maryland

Charlotte Hall Veterans Home Avg Payment Per Stay

413

Page 414: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Chesapeake Shores

21412 Great Mills Road Number of Beds: 117Lexington Park, MD Source: CMS Nursing Home Compare, data as of 4/2015

20653 Chesapeake Shores ALOS: 23.7(301) 863-7244 Maryland Average ALOS: 24.3

Provider Number: 215142 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chesapeake Shores

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Chesapeake Shores

Compared to

Maryland

Average

1.0 5% Above 17% Above

2.3 5% Below 6% Below

50% 17% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Saint Mary's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

10.7%

20.5%

34.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Within 7 Days Within 15 Days Within 30 Days

Chesapeake Shores

Maryland

Nation

414

Page 415: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.2% 18.2% 15.6%

Percent of residents who were physically

restrained1.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

96.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageChesapeake Shores Maryland Average

41.9

33.8

27.9

21.9

28.9

30.2

25.8

25.6

21.2

23.7

25.0

17.3

22.7

19.2

24.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Kidney & Urinary Tract Infectionsw/ MCC

3) Diabetes w/ CC

2) Chronic Obstructive PulmonaryDisease w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Chesapeake Shores

Maryland

Nation

$476 $487

$300

$400

$500

$600

Chesapeake Shores Maryland

Chesapeake Shores Avg Payment Per Day

$11,290 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Chesapeake Shores Maryland

Chesapeake Shores Avg Payment Per Stay

415

Page 416: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: St. Mary's Nursing Ctr

21585 Peabody Street Number of Beds: 160Leonardtown, MD Source: CMS Nursing Home Compare, data as of 4/2015

20650 St. Mary's Nursing Ctr ALOS: 22.5(301) 475-8000 Maryland Average ALOS: 24.3

Provider Number: 215013 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

St. Mary's Nursing Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

St. Mary's Nursing Ctr

Compared to

Maryland

Average

0.6 37% Below 30% Below

2.7 10% Above 9% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Saint Mary's County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.6%

10.3%

15.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

St. Mary's Nursing Ctr

Maryland

Nation

416

Page 417: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.4% 18.2% 15.6%

Percent of residents who were physically

restrained6.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

100.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSt. Mary's Nursing Ctr Maryland Average

38.4

23.8

32.9

52.6

35.3

27.8

22.3

24.6

32.7

20.5

37.2

24.3

22.3

34.5

21.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ MCC

4) Heart Failure & Shock w/ CC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

St. Mary's Nursing Ctr

Maryland

Nation

$461 $487

$300

$400

$500

$600

St. Mary's Nursing Ctr Maryland

St. Mary's Nursing Ctr Avg Payment Per Day

$10,383

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

St. Mary's Nursing Ctr Maryland

St. Mary's Nursing Ctr Avg Payment Per Stay

417

Page 418: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Alice Byrd Tawes Nursing Home

201 Hall Highway Number of Beds: 76Crisfield, MD Source: CMS Nursing Home Compare, data as of 4/2015

21817 Alice Byrd Tawes Nursing Home ALOS: 18.3(410) 968-1200 Maryland Average ALOS: 24.3

Provider Number: 215058 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Alice Byrd Tawes Nursing

Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Alice Byrd Tawes Nursing Home

Compared to

Maryland

Average

0.7 22% Below 13% Below

1.9 22% Below 23% Below

76% 27% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Somerset County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Alice Byrd TawesNursing Home

Maryland

Nation

418

Page 419: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain18.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.2% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.7% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased42.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

78.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAlice Byrd Tawes Nursing Home Maryland Average

29.8

33.0

23.8

41.9

52.6

26.7

19.7

22.3

30.2

32.7

13.7

16.3

16.8

25.8

35.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Cellulitis w/o MCC

4) Major Small & Large BowelProcedures w/ CC

3) Heart Failure & Shock w/ CC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Alice Byrd Tawes NursingHome

Maryland

Nation

$361

$487

$300

$400

$500

$600

Alice Byrd Tawes NursingHome

Maryland

Alice Byrd Tawes Nursing Home Avg Payment Per Day

$6,596

$11,840

$6,000

$8,000

$10,000

$12,000

$14,000

Alice Byrd Tawes NursingHome

Maryland

Alice Byrd Tawes Nursing Home Avg Payment Per Stay

419

Page 420: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Aurora Senior Living of Manokin

11974 Edgehill Terrace Number of Beds: 135Princess Anne, MD Source: CMS Nursing Home Compare, data as of 4/2015

21853 Aurora Senior Living of Manokin ALOS: 31.3(410) 651-0011 Maryland Average ALOS: 24.3

Provider Number: 215179 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Aurora Senior Living of

Manokin

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Aurora Senior Living of Manokin

Compared to

Maryland

Average

0.7 27% Below 19% Below

3.0 23% Above 21% Above

70% 17% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Somerset County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.5%

16.6%

28.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Aurora Senior Livingof Manokin

Maryland

Nation

420

Page 421: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.7% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased26.1% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAurora Senior Living of Manokin Maryland Average

29.7

30.2

28.3

29.3

28.9

23.7

25.4

22.8

25.7

23.7

37.7

11.6

37.7

41.0

16.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Renal Failure w/ CC

3) Simple Pneumonia & Pleurisy w/MCC

2) Renal Failure w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Aurora SeniorLiving of Manokin

Maryland

Nation

$382

$487

$300

$400

$500

$600

Aurora Senior Living ofManokin

Maryland

Aurora Senior Living of Manokin Avg Payment Per Day

$11,953 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Aurora Senior Living ofManokin

Maryland

Aurora Senior Living of Manokin Avg Payment Per Stay

421

Page 422: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: The Pines Genesis Eldercare

610 Dutchman's Lane Number of Beds: 195Easton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21601 The Pines Genesis Eldercare ALOS: 26.7(410) 822-4000 Maryland Average ALOS: 24.3

Provider Number: 215010 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

The Pines Genesis Eldercare

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

The Pines Genesis Eldercare

Compared to

Maryland

Average

0.7 25% Below 16% Below

0.4 83% Below 83% Below

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Talbot County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.6%

8.4%

15.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

The Pines GenesisEldercare

Maryland

Nation

422

Page 423: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.1% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased29.6% 18.2% 15.6%

Percent of residents who were physically

restrained4.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

81.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine89.1% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageThe Pines Genesis Eldercare Maryland Average

52.6

23.8

38.4

35.3

33.0

32.7

22.3

27.8

20.5

32.3

28.3

28.6

43.4

21.9

30.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Hip & Femur Procedures ExceptMajor Joint w/ CC

4) Heart Failure & Shock w/ CC

3) Intracranial Hemorrhage orCerebral Infarction w/ MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Rehabilitation w/ CC/MCC

The Pines GenesisEldercare

Maryland

Nation

$450 $487

$300

$400

$500

$600

The Pines GenesisEldercare

Maryland

The Pines Genesis Eldercare Avg Payment Per Day

$12,024 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

The Pines GenesisEldercare

Maryland

The Pines Genesis Eldercare Avg Payment Per Stay

423

Page 424: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: William Hill Manor Healthcare

501 Dutchman's Lane Number of Beds: 90Easton, MD Source: CMS Nursing Home Compare, data as of 4/2015

21601 William Hill Manor Healthcare ALOS: 26.3(410) 822-8888 Maryland Average ALOS: 24.3

Provider Number: 215137 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

William Hill Manor Healthcare

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

William Hill Manor Healthcare

Compared to

Maryland

Average

1.4 49% Above 67% Above

2.4 The Same 1% Below

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Talbot County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

3.6%

7.8%

16.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

William Hill ManorHealthcare

Maryland

Nation

424

Page 425: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury7.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain2.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

95.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.8% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWilliam Hill Manor Healthcare Maryland Average

29.7

32.9

52.6

35.3

33.0

23.7

24.6

32.7

20.5

32.3

32.2

27.9

30.0

22.3

29.7

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Simple Pneumonia & Pleurisy w/CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Rehabilitation w/ CC/MCC

William Hill ManorHealthcare

Maryland

Nation

$465 $487

$300

$400

$500

$600

William Hill ManorHealthcare

Maryland

William Hill Manor Healthcare Avg Payment Per Day

$12,251 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

William Hill ManorHealthcare

Maryland

William Hill Manor Healthcare Avg Payment Per Stay

425

Page 426: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Coffman Nursing Home

1304 Pennsylvania Ave Number of Beds: 59Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21742 Coffman Nursing Home ALOS: 27.6(301) 733-2914 Maryland Average ALOS: 24.3

Provider Number: 215352 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Coffman Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Coffman Nursing Home

Compared to

Maryland

Average

0.4 53% Below 47% Below

3.2 33% Above 32% Above

63% 5% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

14.7%

23.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Coffman NursingHome

Maryland

Nation

426

Page 427: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection9.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain9.2% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers1.6% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased7.1% 18.2% 15.6%

Percent of residents who were physically

restrained7.2% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

89.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine96.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageCoffman Nursing Home Maryland Average

28.3

33.0

41.9

24.6

35.3

22.8

32.3

30.2

23.0

20.5

19.7

47.5

28.2

37.5

30.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

5) Simple Pneumonia & Pleurisy w/MCC

4) Rehabilitation w/ CC/MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Heart Failure & Shock w/ MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Coffman NursingHome

Maryland

Nation

$512 $487

$300

$400

$500

$600

Coffman Nursing Home Maryland

Coffman Nursing Home Avg Payment Per Day

$14,151

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Coffman Nursing Home Maryland

Coffman Nursing Home Avg Payment Per Stay

427

Page 428: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Fahrney-Keedy Memorial Home

8507 Mapleville Road Number of Beds: 106Boonsboro, MD Source: CMS Nursing Home Compare, data as of 4/2015

21713 Fahrney-Keedy Memorial Home ALOS: 23.8(301) 733-6284 Maryland Average ALOS: 24.3

Provider Number: 215337 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Fahrney-Keedy Memorial

Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Fahrney-Keedy Memorial Home

Compared to

Maryland

Average

0.7 30% Below 21% Below

2.6 8% Above 7% Above

52% 13% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.1%

12.4%

19.3%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Fahrney-KeedyMemorial Home

Maryland

Nation

428

Page 429: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain13.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.5% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.2% 18.2% 15.6%

Percent of residents who were physically

restrained0.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

89.1% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageFahrney-Keedy Memorial Home Maryland Average

30.2

29.7

41.9

35.3

28.9

25.4

23.7

30.2

20.5

23.7

20.2

30.2

38.9

28.3

34.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Renal Failure w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Fahrney-KeedyMemorial Home

Maryland

Nation

$475 $487

$300

$400

$500

$600

Fahrney-Keedy MemorialHome

Maryland

Fahrney-Keedy Memorial Home Avg Payment Per Day

$11,308 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Fahrney-Keedy MemorialHome

Maryland

Fahrney-Keedy Memorial Home Avg Payment Per Stay

429

Page 430: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Golden Living Ctr - Hagerstown

750 Dual Highway Number of Beds: 140Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21740 Golden Living Ctr - Hagerstown ALOS: 23.4(301) 797-4020 Maryland Average ALOS: 24.3

Provider Number: 215336 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Golden Living Ctr -

Hagerstown

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Golden Living Ctr - Hagerstown

Compared to

Maryland

Average

0.7 24% Below 15% Below

1.8 26% Below 27% Below

56% 7% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.9%

14.4%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Golden Living Ctr -Hagerstown

Maryland

Nation

430

Page 431: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.1% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.8% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder4.3% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.7% 18.2% 15.6%

Percent of residents who were physically

restrained5.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageGolden Living Ctr - Hagerstown Maryland Average

34.6

28.3

41.9

35.3

29.7

28.8

22.8

30.2

20.5

23.7

22.0

34.6

49.6

43.7

22.6

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Infectious & Parasitic Diseasesw/ O.R. Procedure w/ MCC

4) Simple Pneumonia & Pleurisy w/MCC

3) Intracranial Hemorrhage orCerebral Infarction w/ CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Simple Pneumonia & Pleurisy w/CC

Golden Living Ctr -Hagerstown

Maryland

Nation

$456 $487

$300

$400

$500

$600

Golden Living Ctr -Hagerstown

Maryland

Golden Living Ctr - Hagerstown Avg Payment Per Day

$10,675 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Golden Living Ctr -Hagerstown

Maryland

Golden Living Ctr - Hagerstown Avg Payment Per Stay

431

Page 432: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Homewood at Williamsport MD

16505 Virginia Avenue Number of Beds: 82Williamsport, MD Source: CMS Nursing Home Compare, data as of 4/2015

21795 Homewood at Williamsport MD ALOS: 24.4(301) 582-1628 Maryland Average ALOS: 24.3

Provider Number: 215225 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Homewood at Williamsport MD

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Homewood at Williamsport MD

Compared to

Maryland

Average

0.6 39% Below 31% Below

3.0 26% Above 24% Above

56% 7% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

8.5%

13.2%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Homewood atWilliamsport MD

Maryland

Nation

432

Page 433: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection3.4% 4.8% 5.7%

Percent of who self report moderate to severe

pain4.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers6.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder5.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased16.7% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.0% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine97.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHomewood at Williamsport MD Maryland Average

29.7

41.9

28.9

32.9

35.3

23.7

30.2

23.7

24.6

20.5

34.0

22.6

30.3

26.0

30.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Simple Pneumonia & Pleurisy w/CC

4) Intracranial Hemorrhage orCerebral Infarction w/ CC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Homewood at WilliamsportMD

Maryland

Nation

$478 $487

$300

$400

$500

$600

Homewood atWilliamsport MD

Maryland

Homewood at Williamsport MD Avg Payment Per Day

$11,670 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Homewood atWilliamsport MD

Maryland

Homewood at Williamsport MD Avg Payment Per Stay

433

Page 434: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Julia Manor Health Care Ctr

333 Mill Street Number of Beds: 130Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21740 Julia Manor Health Care Ctr ALOS: 30.5(301) 665-8700 Maryland Average ALOS: 24.3

Provider Number: 215321 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Julia Manor Health Care Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Julia Manor Health Care Ctr

Compared to

Maryland

Average

0.9 1% Below 11% Above

2.1 15% Below 16% Below

81% 35% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

5.5%

9.1%

19.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Julia Manor HealthCare Ctr

Maryland

Nation

434

Page 435: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury1.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers3.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.8% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased15.6% 18.2% 15.6%

Percent of residents who were physically

restrained1.3% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

99.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.7% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageJulia Manor Health Care Ctr Maryland Average

29.0

30.2

24.8

41.9

28.9

22.9

25.4

22.3

30.2

23.7

17.0

33.4

40.9

38.9

12.6

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Respiratory Infections &Inflammations w/ MCC

4) Renal Failure w/ CC

3) Respiratory System Diagnosis w/Ventilator Support <96 Hours

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Julia ManorHealth Care Ctr

Maryland

Nation

$444 $487

$300

$400

$500

$600

Julia Manor Health CareCtr

Maryland

Julia Manor Health Care Ctr Avg Payment Per Day

$13,541

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Julia Manor Health CareCtr

Maryland

Julia Manor Health Care Ctr Avg Payment Per Stay

435

Page 436: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: NMS Healthcare of Hagerstown

14014 Marsh Pike Number of Beds: 186Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21742 NMS Healthcare of Hagerstown ALOS: 45.4(301) 733-8700 Maryland Average ALOS: 24.3

Provider Number: 215256 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

NMS Healthcare of

Hagerstown

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

NMS Healthcare of Hagerstown

Compared to

Maryland

Average

0.6 41% Below 34% Below

2.2 11% Below 12% Below

68% 13% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

4.3%

7.3%

12.9%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

NMS Healthcare ofHagerstown

Maryland

Nation

436

Page 437: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury6.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.3% 4.8% 5.7%

Percent of who self report moderate to severe

pain12.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased13.7% 18.2% 15.6%

Percent of residents who were physically

restrained1.4% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.4% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine78.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageNMS Healthcare of Hagerstown Maryland Average

28.7

31.3

39.4

28.9

25.6

22.8

24.3

29.4

23.7

35.7

21.5

34.6

47.6

55.1

50.1

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Other Respiratory System O.R.Procedures w/ MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

3) Degenerative Nervous SystemDisorders w/o MCC

2) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

1) Psychoses

NMS Healthcare ofHagerstown

Maryland

Nation

$419

$487

$300

$400

$500

$600

NMS Healthcare ofHagerstown

Maryland

NMS Healthcare of Hagerstown Avg Payment Per Day

$19,024

$11,840

$11,000 $13,000 $15,000 $17,000 $19,000 $21,000

NMS Healthcare ofHagerstown

Maryland

NMS Healthcare of Hagerstown Avg Payment Per Stay

437

Page 438: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Ravenwood Nursing Care Ctr

1183 Luther Drive Number of Beds: 84Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21740 Ravenwood Nursing Care Ctr ALOS: 26.2(301) 790-1000 Maryland Average ALOS: 24.3

Provider Number: 215113 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Ravenwood Nursing Care Ctr

Alzheimer's Care No 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Ravenwood Nursing Care Ctr

Compared to

Maryland

Average

0.7 29% Below 21% Below

2.2 9% Below 10% Below

42% 30% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

11.4%

19.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Ravenwood NursingCare Ctr

Maryland

Nation

438

Page 439: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.5% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain5.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers2.7% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

67.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine98.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageRavenwood Nursing Care Ctr Maryland Average

30.2

35.3

29.7

24.6

52.6

25.4

20.5

23.7

23.0

32.7

52.5

27.5

20.8

15.8

39.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Heart Failure & Shock w/ MCC

1) Hip & Femur Procedures ExceptMajor Joint w/ CC

Ravenwood NursingCare Ctr

Maryland

Nation

$448 $487

$300

$400

$500

$600

Ravenwood Nursing CareCtr

Maryland

Ravenwood Nursing Care Ctr Avg Payment Per Day

$11,743 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Ravenwood Nursing CareCtr

Maryland

Ravenwood Nursing Care Ctr Avg Payment Per Stay

439

Page 440: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Reeders Memorial Home

141 South Main Street Number of Beds: 157Boonsboro, MD Source: CMS Nursing Home Compare, data as of 4/2015

21713 Reeders Memorial Home ALOS: 28.9(301) 432-5457 Maryland Average ALOS: 24.3

Provider Number: 215144 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Reeders Memorial Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Reeders Memorial Home

Compared to

Maryland

Average

0.6 39% Below 31% Below

1.7 29% Below 30% Below

60% The Same NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.8%

10.9%

20.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Reeders MemorialHome

Maryland

Nation

440

Page 441: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.2% 2.7% 3.2%

Percent of residents with a urinary tract

infection10.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain9.3% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers7.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased19.3% 18.2% 15.6%

Percent of residents who were physically

restrained5.9% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

82.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine88.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageReeders Memorial Home Maryland Average

21.9

32.9

29.7

35.3

28.9

21.2

24.6

23.7

20.5

23.7

12.4

37.8

18.4

27.6

40.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Chronic Obstructive PulmonaryDisease w/ MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Reeders MemorialHome

Maryland

Nation

$461 $487

$300

$400

$500

$600

Reeders Memorial Home Maryland

Reeders Memorial Home Avg Payment Per Day

$13,325

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Reeders Memorial Home Maryland

Reeders Memorial Home Avg Payment Per Stay

441

Page 442: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Western MD Hospital Ctr

1500 Pennsylvania Avenue Number of Beds: 63Hagerstown, MD Source: CMS Nursing Home Compare, data as of 4/2015

21742 Western MD Hospital Ctr ALOS: 37.5(301) 745-4200 Maryland Average ALOS: 24.3

Provider Number: 215110 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Western MD Hospital Ctr

Alzheimer's Care No 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care Yes 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care No 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Western MD Hospital Ctr

Compared to

Maryland

Average

2.6 176% Above 209% Above

3.2 32% Above 31% Above

Not Available -- --

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Western MD HospitalCtr

Maryland

Nation

442

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Data Not Available

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.0% 2.6% 3.2%

Percent of residents with a urinary tract

infection7.1% 5.0% 5.7%

Percent of who self report moderate to severe

pain8.8% 5.0% 7.6%

Percent of high risk residents with pressure

ulcers7.3% 6.8% 6.0%

Percent of residents with a catheter inserted

and left in their bladder5.5% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.9% 18.3% 15.6%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.2% 94.6% 94.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.6% 94.1% 94.1%

Source: CMS Nursing Home Compare, data collected 1/2014 through 9/2014

National AverageWestern MD Hospital Ctr Maryland Average

$598

$487

$400

$500

$600

$700

Western MD Hospital Ctr Maryland

Western MD Hospital Ctr Avg Payment Per Day

$22,410

$11,840

$10,000

$14,000

$18,000

$22,000

$26,000

Western MD Hospital Ctr Maryland

Western MD Hospital Ctr Avg Payment Per Stay

443

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County Name:

Facility: Williamsport Nursing Home

154 N. Artizan Street Number of Beds: 121Williamsport, MD Source: CMS Nursing Home Compare, data as of 4/2015

21795 Williamsport Nursing Home ALOS: 30.6(301) 223-7971 Maryland Average ALOS: 24.3

Provider Number: 215198 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Williamsport Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients No 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Williamsport Nursing Home

Compared to

Maryland

Average

0.6 37% Below 29% Below

2.8 16% Above 14% Above

45% 25% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Washington County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

6.5%

12.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Williamsport NursingHome

Maryland

Nation

444

Page 445: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury5.3% 2.7% 3.2%

Percent of residents with a urinary tract

infection5.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.0% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers8.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder0.6% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased18.4% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

98.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine94.3% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWilliamsport Nursing Home Maryland Average

30.7

32.9

28.9

52.6

35.3

24.5

24.6

23.7

32.7

20.5

40.1

22.7

20.9

44.8

25.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Respiratory Infections &Inflammations w/ CC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

2) Hip & Femur Procedures ExceptMajor Joint w/ CC

1) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

Williamsport Nursing Home

Maryland

Nation

$458 $487

$300

$400

$500

$600

Williamsport NursingHome

Maryland

Williamsport Nursing Home Avg Payment Per Day

$14,004

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Williamsport NursingHome

Maryland

Williamsport Nursing Home Avg Payment Per Stay

445

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County Name:

Facility: Anchorage Nursing & Rehab Ctr

105 Times Square Number of Beds: 126Salisbury, MD Source: CMS Nursing Home Compare, data as of 4/2015

21801 Anchorage Nursing & Rehab Ctr ALOS: 28.0(410) 749-2474 Maryland Average ALOS: 24.3

Provider Number: 215339 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Anchorage Nursing & Rehab

Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Anchorage Nursing & Rehab Ctr

Compared to

Maryland

Average

0.6 38% Below 30% Below

2.1 13% Below 14% Below

79% 32% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Wicomico County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

7.7%

16.4%

30.5%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

35%

Within 7 Days Within 15 Days Within 30 Days

Anchorage Nursing &Rehab Ctr

Maryland

Nation

446

Page 447: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.2% 4.8% 5.7%

Percent of who self report moderate to severe

pain3.4% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers13.9% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder7.2% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased27.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

93.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageAnchorage Nursing & Rehab Ctr Maryland Average

27.9

29.7

22.4

24.6

28.9

22.3

23.7

22.3

23.0

23.7

30.2

23.9

24.3

19.2

20.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

5) G.I. Hemorrhage w/ CC

4) Simple Pneumonia & Pleurisy w/CC

3) Pulmonary Edema & RespiratoryFailure

2) Heart Failure & Shock w/ MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Anchorage Nursing &Rehab Ctr

Maryland

Nation

$447 $487

$300

$400

$500

$600

Anchorage Nursing &Rehab Ctr

Maryland

Anchorage Nursing & Rehab Ctr Avg Payment Per Day

$12,527 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Anchorage Nursing &Rehab Ctr

Maryland

Anchorage Nursing & Rehab Ctr Avg Payment Per Stay

447

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County Name:

Facility: Salisbury Ctr

200 Civic Avenue Number of Beds: 289Salisbury, MD Source: CMS Nursing Home Compare, data as of 4/2015

21804 Salisbury Ctr ALOS: 27.7(410) 749-1466 Maryland Average ALOS: 24.3

Provider Number: 215067 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Salisbury Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care Yes 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) Yes 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Salisbury Ctr

Compared to

Maryland

Average

0.8 15% Below 5% Below

2.4 1% Below 2% Below

59% 2% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Wicomico County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

6.6%

14.6%

24.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Salisbury Ctr

Maryland

Nation

448

Page 449: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury3.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection4.0% 4.8% 5.7%

Percent of who self report moderate to severe

pain7.1% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers9.3% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.1% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased23.3% 18.2% 15.6%

Percent of residents who were physically

restrained0.6% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

97.3% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine95.6% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSalisbury Ctr Maryland Average

30.2

52.6

29.7

35.3

28.9

25.4

32.7

23.7

20.5

23.7

31.4

30.0

20.9

29.5

20.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Renal Failure w/ CC

4) Hip & Femur Procedures ExceptMajor Joint w/ CC

3) Simple Pneumonia & Pleurisy w/CC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Salisbury Ctr Maryland

Nation

$402

$487

$300

$400

$500

$600

Salisbury Ctr Maryland

Salisbury Ctr Avg Payment Per Day

$11,116 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Salisbury Ctr Maryland

Salisbury Ctr Avg Payment Per Stay

449

Page 450: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

County Name:

Facility: Wicomico Nursing Home

P.O. Box 2378 900 Booth St Number of Beds: 102Salisbury, MD Source: CMS Nursing Home Compare, data as of 4/2015

21802 Wicomico Nursing Home ALOS: 21.5(410) 742-8896 Maryland Average ALOS: 24.3

Provider Number: 215007 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Wicomico Nursing Home

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care No 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Wicomico Nursing Home

Compared to

Maryland

Average

0.9 6% Below 6% Above

2.9 20% Above 18% Above

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Wicomico County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0%

11.5%

19.8%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Wicomico NursingHome

Maryland

Nation

450

Page 451: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury0.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection1.6% 4.8% 5.7%

Percent of who self report moderate to severe

pain0.8% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers4.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased9.6% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

89.6% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine83.5% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageWicomico Nursing Home Maryland Average

31.3

32.9

29.7

41.9

24.6

24.3

24.6

23.7

30.2

23.0

21.3

24.2

15.8

33.0

16.8

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/o MCC

4) Kidney & Urinary Tract Infectionsw/o MCC

3) Simple Pneumonia & Pleurisy w/CC

2) Intracranial Hemorrhage orCerebral Infarction w/ CC

1) Heart Failure & Shock w/ MCC

Wicomico NursingHome

Maryland

Nation

$476 $487

$300

$400

$500

$600

Wicomico Nursing Home Maryland

Wicomico Nursing Home Avg Payment Per Day

$10,215

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Wicomico Nursing Home Maryland

Wicomico Nursing Home Avg Payment Per Stay

451

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County Name:

Facility: Berlin Nursing & Rehab Ctr

9715 Healthway Drive, P.O. Box 799 Number of Beds: 192Berlin, MD Source: CMS Nursing Home Compare, data as of 4/2015

21811 Berlin Nursing & Rehab Ctr ALOS: 22.0(410) 641-4400 Maryland Average ALOS: 24.3

Provider Number: 215126 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Berlin Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care Yes 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Berlin Nursing & Rehab Ctr

Compared to

Maryland

Average

1.0 6% Above 19% Above

2.2 9% Below 10% Below

71% 18% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Worcester County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

9.1%

17.0%

28.6%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Berlin Nursing &Rehab Ctr

Maryland

Nation

452

Page 453: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury2.4% 2.7% 3.2%

Percent of residents with a urinary tract

infection6.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain1.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.4% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder3.9% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased10.8% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

94.2% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine99.4% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageBerlin Nursing & Rehab Ctr Maryland Average

41.9

23.8

52.6

32.9

28.9

30.2

22.3

32.7

24.6

23.7

29.9

28.2

26.2

23.3

19.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Intracranial Hemorrhage orCerebral Infarction w/ CC

4) Heart Failure & Shock w/ CC

3) Hip & Femur Procedures ExceptMajor Joint w/ CC

2) Kidney & Urinary Tract Infectionsw/o MCC

1) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

Berlin Nursing & Rehab Ctr

Maryland

Nation

$479 $487

$300

$400

$500

$600

Berlin Nursing & RehabCtr

Maryland

Berlin Nursing & Rehab Ctr Avg Payment Per Day

$10,541 $11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Berlin Nursing & RehabCtr

Maryland

Berlin Nursing & Rehab Ctr Avg Payment Per Stay

453

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County Name:

Facility: Hartley Hall Nursing & Rehab

1006 Market Street Number of Beds: 73Pocomoke City, MD Source: CMS Nursing Home Compare, data as of 4/2015

21851 Hartley Hall Nursing & Rehab ALOS: 28.3(410) 957-2252 Maryland Average ALOS: 24.3

Provider Number: 215134 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Hartley Hall Nursing & Rehab

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy Yes 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Hartley Hall Nursing & Rehab

Compared to

Maryland

Average

0.7 29% Below 21% Below

2.0 19% Below 20% Below

55% 8% Below NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Worcester County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0%

19.7%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Hartley Hall Nursing &Rehab

Maryland

Nation

454

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Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.7% 2.7% 3.2%

Percent of residents with a urinary tract

infection2.7% 4.8% 5.7%

Percent of who self report moderate to severe

pain8.6% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.0% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder1.4% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased11.9% 18.2% 15.6%

Percent of residents who were physically

restrained0.0% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

91.5% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine83.2% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageHartley Hall Nursing & Rehab Maryland Average

28.9

35.3

36.7

24.6

29.7

23.7

20.5

22.7

23.0

23.7

42.7

45.0

10.0

40.3

48.3

0.0 10.0 20.0 30.0 40.0 50.0 60.0

5) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

4) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

3) Cholecystectomy Except byLaparoscope w/o C.D.E. w/ MCC

2) Heart Failure & Shock w/ MCC

1) Simple Pneumonia & Pleurisy w/CC

Hartley Hall Nursing &Rehab

Maryland

Nation

$470 $487

$300

$400

$500

$600

Hartley Hall Nursing &Rehab

Maryland

Hartley Hall Nursing & Rehab Avg Payment Per Day

$13,299

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Hartley Hall Nursing &Rehab

Maryland

Hartley Hall Nursing & Rehab Avg Payment Per Stay

455

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County Name:

Facility: Snow Hill Nursing & Rehab Ctr

430 West Market Street Number of Beds: 69Snow Hill, MD Source: CMS Nursing Home Compare, data as of 4/2015

21863 Snow Hill Nursing & Rehab Ctr ALOS: 29.8(410) 632-3755 Maryland Average ALOS: 24.3

Provider Number: 215121 Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Readmission Rate Back to Hospital After SNF Discharge

7 Day, 15 Day, 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Snow Hill Nursing & Rehab Ctr

Alzheimer's Care Yes 94%

Care for Tracheostomy Patients Yes 78%

Catheter Care Yes 100%

Central IV Therapy No 91%

Dialysis Care No 26%

Hospice Care Yes 92%

Peritoneal Dialysis Care No 19%

Rehabilitation Care Yes 98%

Respite Care Yes 89%

Total Parenteral Nutrition (TPN) No 23%

Ventilator Care No 10%Source: MD Guide to Long Term Care, data as of 12/2014

Staffing Measures

Snow Hill Nursing & Rehab Ctr

Compared to

Maryland

Average

0.8 18% Below 9% Below

2.8 15% Above 13% Above

67% 12% Above NA

Source: 1 CMS Nursing Home Compare, data as of 4/2015; 2 MD Guide to Long Term Care, CY 2013 data

Worcester County

Address:

Phone Number:

Percent of Maryland

SNFs Offering

Services

Compared to

National Average

RN staffing hours per resident per day1

CNA hours per resident per day1

Percent of staff employed two years or more2

0.0% 0.0% 0.0%

6.0%

12.1%

21.3%

9.1%

16.4%

25.7%

0%

5%

10%

15%

20%

25%

30%

Within 7 Days Within 15 Days Within 30 Days

Snow Hill Nursing &Rehab Ctr

Maryland

Nation

456

Page 457: The Maryland Hospital Association’s Skilled Nursing Facility … · 2016. 6. 24. · Health’s analysis of 2013 Medicare claims data, MHCC’s . Maryland Guide to Long Term Care,

Payments Per Day, Per Stay

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Average Length of Stay at SNF for Commonly Billed DRGs During Prior Hospitalization

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims dataNote: CC = Complications or Comorbidities; MCC = Major Complications or Comorbidities

Federal Quality Measure Scores For Long Stay Residents

Percent of residents experiencing one or more

falls with major injury4.0% 2.7% 3.2%

Percent of residents with a urinary tract

infection8.8% 4.8% 5.7%

Percent of who self report moderate to severe

pain10.9% 4.9% 7.4%

Percent of high risk residents with pressure

ulcers5.1% 6.7% 5.9%

Percent of residents with a catheter inserted

and left in their bladder2.0% 2.4% 3.1%

Percent of residents whose need for help with

ADLs has increased24.3% 18.2% 15.6%

Percent of residents who were physically

restrained2.7% 0.9% 1.1%

Percent of residents assessed and

appropriately given the seasonal influenza

vaccine

92.7% 93.3% 92.6%

Percent of residents assessed and

appropriately given the pneumococcal vaccine100.0% 93.9% 93.8%

Source: CMS Nursing Home Compare, data collected 4/2014 through 12/2014

National AverageSnow Hill Nursing & Rehab Ctr Maryland Average

39.4

28.9

32.9

35.3

41.9

29.4

23.7

24.6

20.5

30.2

19.5

20.7

31.3

31.0

25.5

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

5) Degenerative Nervous SystemDisorders w/o MCC

4) Septicemia or Severe Sepsis w/oMechanical Ventilation 96+ Hours

w/ MCC

3) Kidney & Urinary Tract Infectionsw/o MCC

2) Major Joint Replacement orReattachment of Lower Extremity

w/o MCC

1) Intracranial Hemorrhage orCerebral Infarction w/ CC

Snow Hill Nursing &Rehab Ctr

Maryland

Nation

$448 $487

$300

$400

$500

$600

Snow Hill Nursing &Rehab Ctr

Maryland

Snow Hill Nursing & Rehab Ctr Avg Payment Per Day

$13,330

$11,840

$9,000

$11,000

$13,000

$15,000

$17,000

Snow Hill Nursing &Rehab Ctr

Maryland

Snow Hill Nursing & Rehab Ctr Avg Payment Per Stay

457