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MEADOW WOODS NURSING AND REHAB CENTER

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MEADOW WOODS NURSING AND REHAB CENTER VS
All other Nursing Homes USA
General
City BLOOMINGDALE   vs 0% Nursing Homes USA have BLOOMINGDALE
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 42235 COUNTY ROAD 390  
Zip Code 49026  
Phone 2695213383  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
78  (30.94 lower than average)
vs
108.94

Total Number of Residents
63  (28.25 lower than average)
vs
91.25

Percent of Occupied Beds
81 % (2.65 % lower than average)
vs
83.65 %

Health Survey Date 4/13/2012  
Fire Survey Date 4/17/2012  
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
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA 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? No  vs 68.7% Nursing Homes USA don't 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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
63  (28.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.42  (0.35 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.54  (0.3 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.97  (0.62 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
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: 02/23/2012
date Of Correction: 03/16/2012 

Deficiency #2 Scope: Few
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: 05/05/2009
date Of Correction: 05/29/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 06/22/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/22/2011
date Of Correction: 06/23/2011 

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: 02/23/2012
date Of Correction: 03/16/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.2 % (11.89 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (29.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 17.1:1 % 
Percent of long-stay residents who lose too much weight
16 % (4.17 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 % (13.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8 % (5.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
1.8 % (41.88 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.3 % (5.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.7 % (7.76 % 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
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 11.6:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
10.2 % (13.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 12.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.4 % (6.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
10.5 % (2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
18.9 % (24.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.9 % (9.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
6.7 % (13.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2 % (36.53 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.3 % (9.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20.3 % (4.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.7 % (9.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.8 % (20.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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