MEADOW BROOK REHABILITATION CENTRE & SUITES

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General
City	ANDERSON	vs	0.1% Nursing Homes USA have ANDERSON
State attribute explanation	IN	vs	3.1% Nursing Homes USA have IN	compare IN Nursing Homes USA
Street	1821 LINDBERG RD
Zip Code	46012
Phone	7656492532
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	1 (2.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (1)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	97 (11.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (97)
Total Number of Residents	70 (21.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (70)
Percent of Occupied Beds	72 % (11.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (72) %
Health Survey Date	2/10/2012
Fire Survey Date	2/22/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	Government - County	vs	2.9% Nursing Homes USA have Government - County	compare Government - County Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	Yes	vs	31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	22 (14.52 higher than average)	vs	7.48

Staff Information
Number of Residents	70 (21.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.61 (0.16 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.62 (0.78 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	2.23 (0.64 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.06 (5.43 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.06 (0.04 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #3		Scope: Many level Of Harm: 2 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 10/13/2009 date Of Correction: 10/29/2009
Deficiency #6		Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 08/18/2009 date Of Correction: 08/26/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 06/07/2011 date Of Correction: 06/13/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 03/18/2010 date Of Correction: 04/07/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 06/07/2011 date Of Correction: 06/13/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 06/07/2011 date Of Correction: 06/13/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #6		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 09/13/2010 date Of Correction: 09/14/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 10/13/2009 date Of Correction: 10/29/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 03/18/2010 date Of Correction: 04/07/2010

Administration Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 02/08/2011 date Of Correction: 03/10/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 09/13/2010 date Of Correction: 09/14/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 10/13/2009 date Of Correction: 10/29/2009

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 10/13/2009 date Of Correction: 10/29/2009
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 08/18/2009 date Of Correction: 08/26/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	26.9 % (1.81 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	6.4 % (26.55 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	19 % (2.34 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	17.6 % (5.02 % higher than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	11.9 % (0.07 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.4 % (9.23 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	1.6 % (11.86 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	5 % (23.38 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	1.50 % (42.18 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	40.6 % (15.58 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	95.3 % (10.66 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	91.5 % (7.56 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 (29.3 higher than average)	vs	45.90
Percent of long-stay residents experiencing one or more falls with major injury	4.6 % (10.92 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	24.8 % (0.59 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	6.2 % (17.5 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	23.8:1 %
Percent of long-stay high-risk residents with pressure ulcers	15.2 % (5.98 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	9.7 % (1.2 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	28.8 % (14.58 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	8.3 % (2.35 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	6.3 % (3.28 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	7.7 % (12.16 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	2.6 / 3 %
Percent of long-stay residents experiencing one or more falls with major injury	4.1 % (6.63 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	41.1 % (16.34 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	96.1 % (14.66 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.3 % (20.55 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	14.7:1 %