ADKINS CARE CENTER 1

The information listed below provides an in-depth look into the type and quality of care offered at Adkins Care Center 1. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ADKINS CARE CENTER 1
709 ARMSTRONG LANE
EAST LIVERPOOL, OH 43920
(330) 385-3600

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

  • Residents: 43
  • Certified Beds: 56

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Adkins Care Center 1. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-108.1%
Total Percent:8.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-107.2%
ADL Index Range: 0-56.3%
Total Percent:13.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.5%
ADL Index Range: 0-530.3%
Total Percent:39.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1022.6%
ADL Index Range: 0-56.3%
Total Percent:29.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-53.2%
Total Percent:3.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
6.3%
Total Percent:6.3%
 

Rating Details For Adkins Care Center 1

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours44 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours30 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 56 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 53 Minutes
Total Nurse Hours3 Hours and 10 Minutes4 Hours and 17 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOhio Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season58%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder24%48%
Percent of Long-Stay Residents Who Were Physically Restrained6%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious31%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores20%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season53%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%24%
Percent of Short-Stay Residents Who Have Pressure Sores11%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
1) Hire Only People Who Have 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.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/06/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/31/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 09/10/2009
  • Correction Date: 09/18/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/06/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)12/02/2010$2,275
Civil Money Penalty (CMP)09/10/2009$3,380
Civil Money Penalty (CMP)11/06/2008$19,663

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Adkins Care Center 1, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/02/2010
  • Correction Date: 12/06/2010

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 07/30/2008
  • Correction Date: 08/08/2008

Resident Rights

Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Complaint Filed: 05/26/2009
  • Correction Date: 06/15/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Adkins Care Center 1 had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/30/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/08/2009
  • Correction Date: 09/18/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/30/2010
  • Correction Date: 05/30/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/30/2010
  • Correction Date: 05/30/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/30/2010
  • Correction Date: 12/06/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/30/2010
  • Correction Date: 12/06/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/31/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/31/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/08/2009
  • Correction Date: 09/18/2009
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 09/08/2009
  • Correction Date: 09/18/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/30/2010
  • Correction Date: 12/06/2010
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011