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MEADOW BROOK REHABILITATION CENTRE & SUITES

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MEADOW BROOK REHABILITATION CENTRE & SUITES VS
Nursing Homes USA
General
City ANDERSON   0.1% Nursing Homes USA have ANDERSON
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 1821 LINDBERG RD  
Zip Code 46012  
Phone 7656492532  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
97 
108.94
Total Number of Residents
70 
91.25
Percent of Occupied Beds
72 %
83.65 %
Health Survey Date 2/10/2012  
Fire Survey Date 2/22/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Government - County  2.9% Nursing Homes USA have Government - County
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
22 
7.48
Staff Information
Number of Residents
70 
91.38
Number of RN Hours Per Resident Per Day
0.61 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.62 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.23 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
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 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
6.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
19 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
17.6 %
12.58 %
Percent of long-stay residents who lose too much weight
11.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
5 %
28.38 %
Percent of long-stay residents who were physically restrained
1.50 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
40.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
4.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
6.2 %
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 %
9.22 %
Percent of long-stay residents who lose too much weight
9.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
7.7 %
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 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
41.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 14.7:1 % 

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