MEADOWBROOK HEALTH CARE

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

MEADOWBROOK HEALTH CARE
4608 LAWRENCEVILLE HIGHWAY
TUCKER, GA 30084
(770) 491-9444

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 130
  • Certified Beds: 144

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is 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 Meadowbrook Health Care. 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: 11-1632.0%
ADL Index Range: 6-108.2%
ADL Index Range: 0-52.8%
Total Percent:43.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1632.7%
ADL Index Range: 0-514.2%
Total Percent:47.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.5%
Total Percent:2.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.6%
ADL Index Range: 6-102.8%
Total Percent:6.4%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
0.4%
Total Percent:0.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.4%
Total Percent:0.4%
 

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: 2-5
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For Meadowbrook Health Care

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) Hours24 Minutes1 Hour and 19 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes48 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 13 Minutes2 Hours and 37 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes2 Hours and 7 Minutes
Total Nurse Hours3 Hours and 28 Minutes4 Hours and 45 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 Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityGeorgia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination53%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season81%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%2%
Percent of Long-Stay Residents Who Were Physically Restrained3%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%51%
Percent of Long-Stay Residents Who Lose Too Much Weight23%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination30%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season59%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%16%
Percent of Short-Stay Residents Who Have Pressure Sores5%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 01/28/2011.

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

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 08/12/2009
  • Correction Date: 09/04/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 08/12/2009
  • Correction Date: 09/04/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/12/2009
  • Correction Date: 09/04/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Keep All Essential Equipment Working Safely.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

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: 01/28/2011
  • Correction Date: 02/25/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/12/2009
  • Correction Date: 09/04/2009
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: 08/12/2009
  • Correction Date: 09/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 06/11/2008
  • Correction Date: 07/10/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/12/2009
  • Correction Date: 09/04/2009

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)11/12/2008$14,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Meadowbrook Health Care, 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

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/26/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/12/2008
  • Correction Date: 01/09/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/24/2009
  • Correction Date: 07/17/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009
Quickly Tell the Resident's Doctor the Results of X-Rays and Other Tests.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/22/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 05/13/2010
  • Correction Date: 06/01/2010

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: 05/04/2009
  • Correction Date: 05/29/2009
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.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 03/01/2010
  • Correction Date: 04/15/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/22/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/06/2008
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.
  • Complaint Filed: 11/12/2008
  • Correction Date: 01/09/2009
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.
  • Complaint Filed: 08/13/2009
  • Correction Date: 09/24/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 03/01/2010
  • Correction Date: 04/15/2010
Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 11/17/2010
  • Correction Date: 12/17/2010
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 11/17/2010
  • Correction Date: 12/17/2010

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 Meadowbrook Health Care 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 01/28/2011.

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

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 01/28/2011
  • Correction Date: 02/25/2011
Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011