Potomac Falls Health & Rehab Center 46531 Harry Byrd Highway, Sterling, VA 20164 Nursing Home Compare To reach the front desk (703) 834-5800 For pricing and availability (703) 940-0167 Care at Potomac Falls Health & Rehab Center Care types offered Nursing Homes CMS Ex. The per-day CMP of $6,550 is very close to the minimum permissible amount, in that penalties at that time ranged from $6,394 to $20,965 for immediate jeopardy deficiencies.38 2010). 10.1093/eurpub/ckw032 13 at 28. 2146 at 23 (2008) and Lake City Extended Care Ctr., DAB No. unidentified person applied a cold compress and that Resident #18 denied any pain. coffee service following Resident # 18's burn injury, it could have made necessary changes to ensure that it was serving coffee within its own suggested temperature range. Treatment administration records document that, beginning at 9:00 am on June 30, 2016, Petitioner initiated the following treatment regimen:15 Decision No. CMS Ex. See 42U.S.C. at 207. Rather, Petitioner's arguments focus on the duration of its immediate jeopardy noncompliance. But Potomac Falls Health & Rehab Center augments these features with the specialized health care many communities cannot offer. See P. Ex. 42U.S.C. CMS Ex. For example, neither a caregiver nor a resident who spills a hot liquid on himself may be able to clean a hot liquid spill within a single second, but if given a few more seconds to react, the caregiver or resident may be able to wipe off a spilled hot liquid, possibly preventing or mitigating a potential burn. CMS Ex. 1-58, 60-61, 6465, and 67-737 Although Petitioner, after the hearing, challenged the credibility of the surveyor's testimony about Resident #18's mother's and private sitter's descriptions of his wounds,24 4 at 1. Resident #18's sitter, who was present. at 293. 2019 Sep 11;19(1):1249. doi: 10.1186/s12889-019-7519-1. Resident #18, a man born in 1958, had been a resident of the facility since June 2005. Accessibility Petitioner also did not assess whether Resident #18 (and other residents) could safely handle and consume hot liquids, to include determining whether supervision or assistance devices could prevent or mitigate a foreseeable risk of harm from hot liquid burns. 483.25(d)(1), (2). Resident denied any discomfort." Potomac Falls Health & Rehab Center, which opened in late June 2014, is located on Harry Byrd Highway in Sterling, Virginia. 2 at 2. 15 at 13, 51 ("Assist with/provide ADL care as needed."). Chandis Parris - Director of Social Services - Potomac Falls Health and Fireside Lodge Retirement Ctr., Inc., DAB No. High snus exposure duration was associated with an earlier starting age, a longer history of use and a careless attitude to its health hazards. We are passionate about what we do, and strive to infuse our everyday work and life with that spiri Read More View Company Info for Free Who is Potomac Falls Health & Rehab Center 34 at 1-2. 488.438(f). Smokers' perceptions of risks and harm from snus relative to cigarettes: a latent profile analysis study. Petitioner has not appealed the corresponding deficiency cited. P. Ex. CMS Ex. Resident #18's mother informed the surveyor that she "was shocked because it was so bad of a burn." Petitioner's noncompliance with 42 C.F.R. 2003 Sep;98(9):1191-5. doi: 10.1046/j.1360-0443.2003.00442.x. . Potomac Falls Health and Rehab Center in Sterling, Virginia Following a standard survey in March 2017, the Centers for Medicare & Medicaid Services (CMS) determined that Petitioner was not in substantial compliance with Medicare participation requirements and that one of the cited deficiencies posed immediate jeopardy to resident health and safety. Reg. 15 at 51. Physical Therapy Available: Danielsson M, Lammi A, Siitonen S, et al. 1860 at 32 (2002). 483.25(d)(1), (2) (cited as Tag F323); Whether CMS's finding that Petitioner's substantial noncompliance posed immediate jeopardy to resident health and safety was clearly erroneous; Whether CMS's determination regarding the duration of the period of immediate jeopardy and noncompliance was clearly erroneous; and. The nurse documented that site #1, the right lower quadrant of the abdomen, had a scar measuring 6.0 x 7.5 x 0 (without indicating the unit of measurement). PMC 15 at 1, 47; see CMS Ex. A lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. Administrator will audit temperature logs to ensure compliance and variances will be addressed through the QAPI committee. It is a small facility with 60 beds. The residual scarring, measured nine months later, totaled approximately 55 square centimeters in size. CMS may impose a per-day CMP for the number of days an SNF is not in substantial compliance or a per-instance CMP for each instance of the SNF's noncompliance. Although a care plan focus dating back to September 2012 recognized that Resident #18 "has been assessed as having no or limited potential for change in ADL performance and requires extensive to total assistance with ADLs [related to] TBI, Incontinence, Intellectual disability Hemiplegia, and Limited Mobility," the care plan lacked specific interventions with respect to meals. 2005). Potomac Falls Health & Rehab Center - VA - Senior Care Finder CMS Ex. Time and Temperature Relationship to Serious Burns). -, Leon ME, Lugo A, Boffetta P, et al. Receive the latest updates from the Secretary, Blogs, and News Releases. The treatment record indicates 13 separate dressing applications on June 30, July 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, and August 2 and 5. For the reasons discussed below, I find that Petitioner was not in substantial compliance with Medicare program requirements. Educate resident/family/caregivers of causative factors and measures to prevent skin injury. Reply at 8 n.18 (citing CMS Ex. 10 at 3 (March 22, 2017 progress note documenting that a nurse and social worker spoke with Resident #18 and his "full time caretaker" and contacted Resident #18's parents and informed them of "precautions needed when consuming hot liquids," including that "[l]ids will be used so it cannot be as easily spilled and other precautions will be put in place."). For the foregoing reasons, I conclude that Petitioner was not in substantial compliance with Medicare participation requirements at 42 C.F.R. We focus on minimizing discomfort and confusion while providing the most friendly, engaging atmosphere possible. The staff are friendly are friendly and knowledgeable. pursuant to 42 C.F.R. CMS Ex. CMS Ex. Potomac Falls Health & Rehab Center - Business Information - ZoomInfo Briarwood Nursing Ctr., DAB No. This site needs JavaScript to work properly. Dating back to March 29, 2012, Resident #18 had a care plan focus addressing his hemiplegia. Our new, state-of-the-art facility provides a sanctuary of rehabilitation, long-term, and respite care to our neighbors in Sterling and the surrounding communities. 2858 at 12 (2018) (internal citations and footnote omitted). CMS Ex. 14 at 10, 12. The lead surveyor, Ms. Russell, interviewed a number of individuals as part of her investigation and reported that she "accurately documented," inter alia, conversations with both Resident #18's mother and his private caregiver on March 23, 2017. Hemphill, M.D., CWSP," dated June 27, 2017.30 2019 Nov 27;16(1):62. doi: 10.1186/s12954-019-0335-1. The 5 Best Nursing Homes in Sterling, VA for 2023 - Caring.com interventions until March 22, 2017.41 See Profile. Should the European Union lift the ban on snus? sharing sensitive information, make sure youre on a federal At that time, Petitioner implemented the following interventions: CMS Ex. CMS Ex. Coffee temperatures were frequently recorded to exceed 150 degrees through March 22, 2017. Petitioner's care plan interventions were limited to the vague intervention of educating Resident #18 and his family/caregivers "of causative factors and measures to prevent skin injury" and to "[f]ollow facility protocols for treatment of injury." Petitioner did not implement the meaningful interventions listed above for another 272 days, until March 22, 2017. Potomac Falls Health & Rehab Center in Sterling, VA The health care staff ( RNs, LPNs, CNAs, wound nurses, etc.) The center also is home to a registered dietician, full-service pharmacy, laboratory services, wound care, and more. Potomac Falls Health & Rehabilitation Center He is an epileptic, he has seizures. 2344 at 12 (2010), aff'd, Cedar Lake Nursing Home v. U.S. Dep't of Health & Human Servs., 619F.3d 453, 457 (5th Cir. CMS Ex. 9 at 1-2. 30 at 5. CMS Ex. A higher education level was a protective factor for total exposure time. For instance, in December 2016, the Shenandoah unit coffee temperature was 150 degrees or lower on only two of the 28 recorded occasions, and in March 2017, until Petitioner abated immediate jeopardy on March 22, 2017, the breakfast meal coffee temperature was recorded as being in excess of 150 degrees on more than half of those days. Some days he has 2-3 seizures he should be with somebody. Objective: In order to be in substantial compliance, deficiencies may "pose no greater risk to resident health or safety than the potential for causing minimal harm." It was 3-4 days later they came in and put a bandage on it, his skin had two open spots. P. Ex. 2300 at 19-20 (2010). CMS filed a pre-hearing brief (CMS Br.) At that time, Petitioner had not provided adequate supervision and assistance devices to prevent or mitigate the risk of a hot liquid injury to an epileptic resident with dominant side hemiplegia and bilateral upper extremity impairments. 67 at 1. 10 at 1; CMS Ex. With respect to Tag F323, the SOM explains that "[m]any residents in long-term care facilities have conditions that may put them at increased risk for burns caused by scalding." at 7-8. 10 at 3. E. A per-day CMP of $6,550 is a reasonable enforcement remedy for Petitioner's noncompliance with 42 C.F.R. P. Ex. On March 22, 2017, during the survey, Petitioner added a care plan focus relating to Resident #18's "risk for burns related to decreased sensation, seizure disorder, thickened liquids when drinking hot liquids (enjoys coffee)." 60-61, 64-65; P. Exs. at 5, 9, 19; 42 C.F.R. Additionally, Resident #18's wounds were described as "bleeding and raw," "awful," "big, open and bleeding," and "shock[ing]," all descriptions that support a serious burn injury. 2013 Mar;15(3):678-84. doi: 10.1093/ntr/nts185. Incidents within a community must be reported and documented. The burden is on the facility to prove that it is compliant with program requirements, not on CMS to prove that deficiencies continued to exist after they were discovered. CMS Ex. 30 at 5; 31 at 2-31. SOM, Appendix PP (Rev. 1-73), and Petitioner filed a pre-hearing brief (P. Once approved, you can expect to see your review on our website in 1-2 business days. temperature of coffee served at only the breakfast meal. Maine Veterans' Home - Scarborough, DAB No. A week later, on July 8, 2016, the body audit revealed an "[o]pen area on abdomen, treatment in place." where he spilled his coffee." A subsequent note, only minutes later at 12:44 pm on June 29, 2016, reported that a nurse practitioner was "made aware of open areas on abdomen and new treatment." Please include as much detail as possible to help prospective family members evaluating (Community Name). The nurse documented that "[o]n the left quad is [a] blister" and [o]n right quad is [a] scar. In an order dated October 24, 2019, I addressed additional evidentiary matters. monthly price Within 25 Miles $5,416 In Washington (Hagerstown) $5,275 In Virginia $4,695 Average price for Potomac Falls Health & Rehab Center $5,275 /month You may be able to take advantage of: Direct discounts from this community VA assistance The state agency determined that one deficiency, cited as 42 C.F.R. The deficiencies are egregious. Potomac Falls Health & Rehab Center is a 150 bed Medicare and Medicaid Certified skilled nursing facility in Sterling, VA (20164). Petitioner served Resident # 18 his coffee in a lidless cup without any other assistance devices in place, and he apparently suffered a seizure, spilled the coffee on himself, and sustained a serious coffee burn. 10 at 1-3; 13 at 26-28; 14 at 2-13. 24440 Stone Springs Boulevard, Dulles, VA, 1701 North George Mason Drive, Arlington, VA, 15225 Healthcote Boulevard, Haymarket, VA, 10621 South Glen Road, Potomac, Potomac, MD, 9908 South Glen Road, Potomac, Potomac, MD, 14180 Travilah Road, Rockville, Rockville, MD, 412 Edwards Ferry Road Northeast, Leesburg, Leesburg, VA, 10201 Democracy Boulevard, Potomac, Potomac, MD, Outdoor Areas, Social Outings, Fitness Programs, Outdoor Areas, Social Outings, Activity Center, Clubs & Communities, Outdoor Areas, Activity Center, Clubs & Communities, Pet Friendly, Social Outings, Activity Center, Beauty & Barber, 46531 Harry Byrd Highway, Sterling, VA, 20164. Even though Resident #18 had a sitter who usually assisted him with lunch and dinner, no care plan intervention at that time would have prevented or mitigated the risk of injury with such an event. 2013 Oct;23(5):768-71. doi: 10.1093/eurpub/cks131. It took more than a month to heal. 488.430(a). First, I note that Petitioner has considerable culpability and the deficiency was very serious. Welcome to Potomac Falls Health & Rehab Center, a nursing home community located in Sterling, Virginia. Diagnoses listed in Resident #18's admission record include generalized and intractable epilepsy, spastic hemiplegia affecting the right dominant side, dysphagia, intellectual disabilities, and major depressive disorder. It is located in Loudoun county at 46531 Harry Byrd Highway, Sterling, Virginia 20164. 488.438(f)(4). Facility records do not document that Petitioner complied with the June 23, 2016 order for a wound consultation. 173, Nov. 22, 2017). Petitioner primarily argues Resident #18's injury was not serious enough to sustain a determination of immediate jeopardy. Four days later, a June 28, 2016 progress note reports "abrasions noted on [Resident #18's] stomach . 34 at 1-2. 15, passim. 15 at 1, 47. pt. Potomac Falls Health & Rehab Center - Facebook Our long-term care residents enjoy the welcome warmth of home and the commitment and care of our highly-trained staff. CMS Ex. Cross-sectional questionnaire study. Nor did Dr. Hemphill address the evidence that Resident #18's wound remained open for up to six weeks. Introduction: Hallux rigidus is a common problem of pain and stiffness of the first metatarsophalangeal joint (MTPJ) caused mainly by degenerative osteoarthritis. pts. After that I gave it to him and he had a seizure. 15 at 3-5. By submitting this review I certify that this review is based on my own experience and is my genuine opinion of Symphony at Stuart, or I have been granted authority to post this review on behalf of a geniuine experience or opinon of another. Dr. Hemphill's statement is of little probative value. The parties filed post-hearing briefs (CMS Post-Hrg. I also note that Ms. Nwankwo notified Resident #18's physician of his burn injury and received his order for a wound consultation, yet Petitioner did not carry out this order. 10 at 3. Reply). International agency for research on cancer. The resident's mother further reported that Resident #18's burns on his "belly" were "big, open, and bleeding" and that "it was awful for a long time." P. Ex. 34. The Secretary contracts with state agencies to conduct periodic surveys to determine whether SNFs are in substantial compliance with participation requirements. Rehabilitation - Potomac Falls Health & Rehab Center CMS Ex. No. Our new, state-of-the-art facility provides a sanctuary of rehabilitation, long-term, and respite care to our neighbors in Sterling and the surrounding communities. Pursuant to 42 C.F.R. 30 at 1, 3, 5, 7 (summarizing breakfast coffee temperatures for three of the units, but with no temperatures recorded for the Piedmont unit that month). 42U.S.C. Petitioner also submitted a letter from "A.F. 42 C.F.R. Results: 483.25(d)(1), (2) and that the per-day CMP of $6,550 from June 23, 2016, through March 22, 2017, is a reasonable enforcement remedy. Potomac Falls Health & Rehab Center - SeniorCare.com 15 at 13, 51 ("Assist with/provide ADL care as needed."). POTOMAC FALLS HEALTH & REHAB CENTER - STERLING Nursing Home Noncompliance found during a survey is "presumed to continue until the facility demonstrates that it has achieved substantial compliance." Unable to load your collection due to an error, Unable to load your delegates due to an error. Br.) 10 at 1; see CMS Ex. CMS Ex. If you leave a review without contact information, we may remove it. 43 at 4 (testimony addressing "initial confusion" by staff that the burns were located on Resident #18's thighs rather than his abdomen). Reg. The nurse who took the report "assessed" Resident #18 and observed "burn on bilateral lower quad." CMS has the discretion to select the remedy, and it selected a per-day CMP. 1395i-3; 42C.F.R. 488.404; and 4) the facility's degree of culpability, which includes neglect, indifference, or disregard for resident care, comfort or safety. 2 at 2. Petitioner quizzically did not question the surveyor about the veracity of these statements. 1395aa(a); 42C.F.R. a facility licensed practical nurse, that she "read the nurse's note from the previous night and it said burn on quad. Potomac Falls Health & Rehab Center, which opened in late June 2014, is located on Harry Byrd Highway in Sterling, Virginia. See CMS Ex. Several operative techniques have been introduced for the treatment of this condition without high-quality evidence comparing surgical to non-surgical care. Petitioner's records document that Resident #18 received treatment in the form of dressing changes for his open wounds for six weeks, and this is a significant length of time for an incontinent resident to have open abdominal skin wounds when he is already at risk for a decline in skin integrity.