MILETREE CENTER
Address
825 SUMMIT STREET
SPENCER, WV 25276
(304) 927-1007
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 60
- Certified Beds: 62
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is 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 "Ultra-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 Miletree Center. 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 14.5% |
ADL Index Range: 6-10 | 17.7% |
ADL Index Range: 0-5 | 20.6% |
Total Percent: | 52.8% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 12.8% |
ADL Index Range: 6-10 | 1.9% |
ADL Index Range: 0-5 | 13.3% |
Total Percent: | 28.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 6.5% |
ADL Index Range: 6-10 | 6.7% |
Total Percent: | 13.1% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1 - Less restorative nursing | 2.7% |
Total Percent: | 2.7% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 6-10 - Less restorative nursing | 2.3% |
ADL Index Range: 2-5 - Less restorative nursing | 1.1% |
Total Percent: | 3.4% |
Rating Details For Miletree Center
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 | 35 Minutes | 1 Hour and 22 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 41 Minutes | 45 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 19 Minutes | 2 Hours and 28 Minutes |
Total Licensed Nurse Hours | 1 Hour and 17 Minutes | 2 Hours and 6 Minutes |
Total Nurse Hours | 3 Hours and 35 Minutes | 4 Hours and 35 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 West Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | West Virginia Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 23% | 13% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 11% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 7% | 3% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 18% | 18% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 8% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 14% | 10% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 8% | 11% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 6% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 36% | 55% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 19% | 15% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 84% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 86% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 34% | 18% |
Percent of Short-Stay Residents Who Have Pressure Sores | 25% | 15% |
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 09/16/2009.
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
Keep Accurate and Appropriate Medical Records.
| ||
Follow All Laws and Professional Standards.
| ||
Keep Accurate and Appropriate Medical Records.
|
Environmental
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
|
Nutrition and Dietary
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| ||
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
|
Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
| ||
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
Resident Rights
Give the Resident's Legal Representative the Same Rights As the Resident.
| ||
Provide Enough Notice Before Discharging or Transferring a Resident.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Miletree Center, 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
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
|
Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
|
Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
|
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 Miletree Center 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 09/24/2009.
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 |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| ||
Portable Fire Extinguishers.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
|
Exits and Egress
Exits That Are Accessible at All Times.
|
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| ||
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| ||
Properly Maintained Smoke Detectors.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| ||
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
|