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MEADOWBROOK HEALTH AND REHAB

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MEADOWBROOK HEALTH AND REHAB VS
Nursing Homes USA
General
City TUCKER   0% Nursing Homes USA have TUCKER
State attribute explanation GA   2.3% Nursing Homes USA have GA
Street 4608 LAWRENCEVILLE HIGHWAY  
Zip Code 30084  
Phone 7704919444  
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
144 
108.94
Total Number of Residents
130 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 1/28/2011  
Fire Survey Date 1/28/2011  
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 For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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 18  
Staff Information
Number of Residents
130 
91.38
Number of RN Hours Per Resident Per Day
0.41 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.85 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.25 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/13/2010
date Of Correction: 06/01/2010 
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: 08/13/2009
date Of Correction: 09/24/2009 
Deficiency #2 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: 05/04/2009
date Of Correction: 05/29/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 07/27/2011
date Of Correction: 09/14/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/17/2010
date Of Correction: 12/17/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 11/17/2010
date Of Correction: 12/17/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/01/2010
date Of Correction: 04/15/2010 
Deficiency #5 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: 08/13/2009
date Of Correction: 09/24/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 11/15/2011
date Of Correction: 12/30/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/27/2011
date Of Correction: 09/14/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/16/2009
date Of Correction: 01/22/2010 
Deficiency #4 Scope: Few
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: 08/13/2009
date Of Correction: 09/24/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/13/2009
date Of Correction: 09/24/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 12/16/2009
date Of Correction: 01/22/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Attending Physician The Results Of X-rays And Other Tests, In A Timely Manner.
survey Date: 08/13/2009
date Of Correction: 09/24/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 08/13/2009
date Of Correction: 09/24/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/24/2009
date Of Correction: 07/17/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 03/01/2010
date Of Correction: 04/15/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.3 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
12.58 %
Percent of long-stay residents who lose too much weight
9.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
0.9 %
28.38 %
Percent of long-stay residents who were physically restrained
2.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
17.9 (64.2) %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
25.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
28.3 %
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
4.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
38.6 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.50 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8.3 %
9.22 %
Percent of long-stay residents who lose too much weight
16.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection 8.1 / 8.8 % 
Percent of long-stay residents who have depressive symptoms
1 %
19.86 %
Percent of long-stay residents who were physically restrained
2.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
23.7 (74.7) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
30.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
40.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.5 %
17.34 %

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