MILETREE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Miletree Center. 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

MILETREE CENTER
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

97%

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

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Nearby Cities:

Ripley | Sissonville | Charleston

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 ServicesResident ConditionsPercent of Service Days

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: 11-1614.5%
ADL Index Range: 6-1017.7%
ADL Index Range: 0-520.6%
Total Percent:52.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.8%
ADL Index Range: 6-101.9%
ADL Index Range: 0-513.3%
Total Percent:28.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.5%
ADL Index Range: 6-106.7%
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 DayReportedExpected
Registered Nurse (RN) Hours35 Minutes1 Hour and 22 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 19 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 17 Minutes2 Hours and 6 Minutes
Total Nurse Hours3 Hours and 35 Minutes4 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 FacilityWest Virginia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse23%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%8%
Percent of Long-Stay Residents Who Lose Too Much Weight14%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder36%55%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%15%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%18%
Percent of Short-Stay Residents Who Have Pressure Sores25%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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Follow All Laws and Professional Standards.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/20/2009

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.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 09/10/2007
  • Correction Date: 10/31/2007
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
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.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/20/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009

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 ComplaintsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/24/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/24/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/24/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 07/15/2010
  • Correction Date: 08/24/2010

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/18/2007
  • Correction Date: 10/23/2007
Portable Fire Extinguishers.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/18/2007
  • Correction Date: 10/23/2007
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/20/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/20/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/18/2007
  • Correction Date: 10/23/2007

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/18/2007
  • Correction Date: 10/23/2007
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/20/2009
Source: Medicare Nursing Home Compare; Dept of Health and Human Resources of West Virginia-Office of Health Facility Licensure and Cert - Retrieved 2011