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
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
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 Services | Resident Conditions | Percent 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: 2-10 | 8.1% |
| 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: 6-10 | 7.2% |
| ADL Index Range: 0-5 | 6.3% |
| Total Percent: | 13.6% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 9.5% |
| ADL Index Range: 0-5 | 30.3% |
| Total Percent: | 39.8% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 22.6% |
| ADL Index Range: 0-5 | 6.3% |
| Total Percent: | 29.0% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 0-5 | 3.2% |
| 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 44 Minutes | 1 Hour and 14 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 30 Minutes | 39 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 56 Minutes | 2 Hours and 24 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 14 Minutes | 1 Hour and 53 Minutes |
| Total Nurse Hours | 3 Hours and 10 Minutes | 4 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 Facility | Ohio Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 58% | 90% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 14% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 24% | 48% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 6% | 5% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 5% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 6% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 13% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 31% | 18% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 20% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 72% | 83% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 53% | 84% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 13% | 24% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 11% | 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 Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Get Services Outside the Nursing Home That Meet Professional Standards.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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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.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
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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.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
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Provide Activities to Meet the Needs of Each Resident.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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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.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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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.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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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.
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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 Taken | Date | Amount |
| 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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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.
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Resident Rights
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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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 Inspectors | Degree of Harm | Residents Affected |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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No-Smoking Signs Where Oxygen is Used.
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Proper Medical Gas Storage and Administration Areas.
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Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011
