Future Care Irvington

22 SOUTH ATHOL AVENUE
BALTIMORE, MD 21229
(410) 947-3052

• Located in Baltimore City, Maryland
• For-profit partnership
• Certified beds: 200
• Last Medicare rating: 4 stars

FutureCare Irvington, in Baltimore, is a unit of FutureCare, which operates 14 nursing home facilities in Maryland, including a total of eight in the city of Baltimore. FutureCare has had this facility since 2003.

A very much for-profit partnership, the Irvington venue is exceptionally large, maintaining 200 certified beds. A provider of both rehabilitation services and long-term care, this facility offers respiratory therapy, on-site dialysis, stroke recovery, wound care management, IV therapy, and other services.

FutureCare Irvington calls itself "the perfect place to call home, for a number of reasons." A look at this facility's record tells us that it is probably at least average. But let's say it hasn't quite reached perfection.

This FutureCare facility got an overall Medicare ranking of 4 stars - above average. It also got four stars for the subcategories of its health inspection and its staffing, and a 3-star (average) rating for quality measures. Another Baltimore facility called Little Sisters of the Poor, about one mile away, beat FutureCare Irvington in every Medicare category.

• Westgate Hills Rehabilitation & Healthcare Center: Located very near its FutureCare rival, Westgate Hills scores mostly average in the Medicare rankings, versus the above-average grades FutureCare Irvington received in three of four main Medicare categories. This 120-bed facility is in also in Southwest Baltimore.
• Little Sisters of the Poor: This Baltimore facility is one of those stellar places you don't want for a neighbor. Because it is too good. Little Sisters of the Poor got top-notch 5-star ratings in three main Medicare categories. It received four stars (above average) for one. Few facilities in Baltimore can beat this record.
• Charlestown Community Inc.: The operators of FutureCare Irvington deserve to take some pride in almost competing with Charlestown Community which is very well thought of in Maryland. Both facilities got 4-star Medicare ratings for their health inspection and staffing. But Charlestown, located in Catonsville, got top 5-star ratings for quality measures and its overall ranking, besting the FutureCare facility in both cases.
• Ridgeway Manor Nursing & Rehabilitation Center: The main Medicare scores for this Catonsville nursing home are identical to those of FutureCare Irvington - except that the FutureCare facility got four stars (above average) for staffing, and Ridgeway Manor got two stars (below average).
• Caton Manor: A serious underachiever, Caton Manor underscores FutureCare Irvington in all four of the main Medicare ranked categories. This Baltimore facility got an overall 1-star rating - the lowest.
• St. Elizabeth Rehabilitation & Nursing Center: This Baltimore facility scored lower than FutureCare Irvington in all four main Medicare categories. There are worse facilities out there. But whereas FutureCare Irvington got mostly above-average ratings, St. Elizabeth got average or below-average ratings.
• Frederick Villa Nursing & Rehabilitation Center: Medicare gave this Catonsville facility a straight three stars across the board: "average" ratings in each of its four main measured categories. FutureCare Irvington, by contrast, got one "average" rating - and three "above-average" ratings.

This facility is big: at last official count. At last count it had 192 residents - far higher than the Maryland state average of 107.5 residents, and well over twice the national average (86.2).

Its last standard Medicare inspection, in August 2015, turned up eight deficiencies in the health inspection -- middling between the Maryland average of 11.4 deficiencies and the U.S. average of 7.1 deficiencies. The six fire safety deficiencies at FutureCare Irvington were higher than the Maryland average (4) and the national average (3.4).

This facility has had two relatively recent complaint inspections, in December 2015, and March 2016. The two cases at issue, in the complaint inspection of December 2015, involved what may have been a single employee's accounting errors. The complaint inspection of March 2016 concerned two residents, one of whom, cognitively impaired, refused care; the other for whom the facility failed to revise its care plan to reflect necessary new interventions. (In the first case, the resident refused to submit to routine diagnostic procedures, refused to wear protective clothing or change clothes, and tried to hit staffers with a stick, among other uncooperative behaviorisms. We cannot much fault the facility for a case like this.)

FutureCare Irvington's 4-star rating for staffing reflects its above-average provision of nursing time to its residents. This facility also got a 4-star rating for RNs, giving residents an average of 1 hour, 17 minutes per day with registered nurses, versus the Maryland average of 59 minutes and the U.S. average of 50 minutes.

This FutureCare home beat the Maryland and U.S. averages for daily nursing time per resident (18 minutes more than the Maryland average, 27 minutes more than the national average). It was lower than average on time spent by LPNs and LVNs (licensed practical nurses, licensed vocational nurses) and physical therapists, but higher than average on time spent by certified nursing assistants.

Its nursing care produced a 3-star "average" rating for this facility on quality measures, which are numerical gauges of the level of care residents receive. In fact, the detailed metrics suggest that FutureCare Irvington may be a bit above average for this crucial metric, which looks separately at short-stay and long-stay residents.

Although this facility's short-stay residents' rates of improvement in function and successful discharge rates were a bit below the Maryland and U.S. averages, these residents (once discharged) were less likely than average to need rehospitalization or a visit to the ER. FutureCare Irvington short-termers were a bit more likely than average to receive antipsychotic meds (a minus), but they also were more likely than average to get flu and pneumonia shots (a plus).

This facility's best stat for short-stay residents was on the incidence of pressure ulcers (bed sores): a mere 0.5 percent, less than half the Maryland and U.S. rates (1.3 percent and 1.2 percent, respectively).

For long-stay residents, FutureCare Irvington was better than the state and national averages for six categories, worse for five categories, and about on par with the averages for four categories.

On two bellwether metrics, it did extremely well. Its long-term residents' rate of falling with injury was a mere 0.3 percent - about one-tenth of the Maryland and U.S. averages of 2.9 percent and 3.3 percent, respectively. The rate of depressive symptoms among long-stayers here was only 1 percent - about one-fifth as high as the Maryland (4.7 percent) and U.S. (5.4 percent) averages.

FutureCare Irvington long-stayers were more likely than average to get flu shots, and less likely than average to receive antipsychotic meds. They were just over half as likely as the state and U.S. averages to experience serious weight loss. They were slightly less likely than average to maintain their mobility, but they were above the state and U.S. averages in being able to carry out their daily activities independently.

On the minus side, long-stay residents here were more apt than the norms to have urinary tract infections, incontinence, and ongoing catheterization. As for the incidence of pressure ulcers - one of this facility's best stats for short-stay residents - it was one of its worst stats for long-stayers: at 16.6 percent, it was more than twice as high as the Maryland and U.S. averages of 6.9 percent and 5.7 percent, respectively.

We don't mean to pick on this facility, but we do believe in truth in advertising. FutureCare Irvington's Medicare rankings are better than average. But this facility's record doesn't quite match its claim of being "perfect."

Has a FutureCare nursing home made an error that ended in tragedy? We can help navigate Baltimore's legal system, give you your legal options, and fight for justice and compensation for you. Our legal system and a Baltimore jury will hold a responsible nursing home accountable if the nursing home does not make the settlement offer that justice requires. Call our nursing home lawyer at Miller & Zois today at (800) 553-8082 or get a FREE no obligation case review.

• Miller & Zois' important appellate victory in the Maryland Court of Special Appeals against FutureCare in a wrongful death case
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1Vital Statistics

Number of Beds:200 certified beds

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts:Medicare and Medicaid

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2Key Ratings

Star Rating Summary
Overall Rating Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care		Below Average
Health Inspection Medicare assigns the star rating based on a nursing home's weighted score from recent health inspections. More stars means fewer health risks		Much Below Average
Staffing Medicare assigns the star rating based on the nursing home's staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident		Average
RN Staffing		Average
Quality Measures Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care		Much Above Average

3Key Short Stay Statistics

Description	Future Care Irvington	Maryland Average
Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better.	13.7%	10.4%
Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better.	6.1%	Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better.	74.3%	85.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better.	52.6%	84.0%
Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better.	2.7%	1.7%

4Key Long Stay Statistics

Description	Future Care Irvington	Maryland Average
Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better.	0.7%	2.7%
Percent of long-stay residents with a urinary tract infection Lower percentages are better.	2.7%	2.5%
Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better.	8.7%	5.4%
Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better.	22.6%	8.8%
Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better.	71.2%	62.3%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better.	3.5%	1.7%
Percent of long-stay residents who were physically restrained Lower percentages are better.	0.0%	0.2%
Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better.	21.9%	22.5%
Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better.	18.3%	18.0%
Percent of long-stay residents who lose too much weight Lower percentages are better.	6.1%	5.8%
Percent of long-stay residents who have depressive symptoms Lower percentages are better.	16.3%	3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better.	24.9%	16.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better.	94.0%	96.7%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better.	81.2%	94.1%
Percent of long-stay residents who received an antipsychotic medication Lower percentages are better.	10.8%	12.4%

5Inspection Summary

Date of standard health inspection:10/30/2017
Total number of health deficiencies:19
Average number of health deficiencies in Maryland:14.9