MEADOWWOOD CARE CENTER

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

MEADOWWOOD CARE CENTER
61 STEPHANS AVENUE
GEORGETOWN, OH 45121
(937) 378-3727

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

79%

Number of Residents and Certified Beds

Residents: 68
Certified Beds: 86

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Williamsburg | Ripley | Bethel

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Special Care Low". 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 Meadowwood Care 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

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	73.7%
Total Percent:	73.7%

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	26.3%
Total Percent:	26.3%

Rating Details For Meadowwood Care 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	45 Minutes	60 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	44 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 22 Minutes	2 Hours and 23 Minutes
Total Licensed Nurse Hours	1 Hour and 29 Minutes	1 Hour and 40 Minutes
Total Nurse Hours	4 Hours and 51 Minutes	4 Hours and 3 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 Given Influenza Vaccination During the Flu Season	90-100%	90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	63%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection	11%	11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	32%	48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	4%	5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	2%	10%
Percent of Long-Stay Residents Who Were Physically Restrained	12%	5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	16%	10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	2%	6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	12%	18%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	3%	13%
Percent of Long-Stay Residents Who Lose Too Much Weight	3%	8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	63%	83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	13%	12%
Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	37%	24%

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 11/05/2010.

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

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
Post Nurse Staffing Information. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

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. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

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: 08/28/2009 Correction Date: 10/17/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/05/2010 Correction Date: 12/02/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
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: 08/28/2009 Correction Date: 10/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
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: 08/28/2009 Correction Date: 10/17/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/26/2008 Correction Date: 08/15/2008
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. Inspection Date: 08/28/2009 Correction Date: 10/17/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 08/28/2009 Correction Date: 10/17/2009

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 Taken	Date	Amount
Civil Money Penalty (CMP)	04/22/2009	$3,465
Civil Money Penalty (CMP)	11/25/2009	$8,400

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Meadowwood Care 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