CARDINAL WOODS SKILLED NURSING AND REHAB CTR - MADISON, OH
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Address 6831 CHAPEL ROADPhone (make sure to verify first before calling): (440) 428-5103 Number of Certified Beds: 120 Total Number of Residents: 99 Percent of Occupied Beds: 83% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Corporation Located Within a Hospital?: No Multi Nursing Home Ownership?: No Resident and Family Councils: Resident Continuing Care Retirement Community?: No Quality Indicator Survey?: Yes Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 2 Stars Health Inspections Star Rating: 3 Stars Nurse Staffing Star Rating: 3 Stars Quality Measures Star Rating: 1 Star RN Only Star Rating: 2 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 9.93Administrative Staff - Part Time: 0.34 Certified Nurse Aides - Full Time: 52.73 Certified Nurse Aides - Part Time: 1.50 Dietitians - Under Contract: 0.23 Licensed Practical/ Vocational Nurses - Full Time: 17.71 Licensed Practical/ Vocational Nurses - Part Time: 1.06 Medical Directors - Under Contract: 0.23 Mental Health Services Personnel - Under Contract: 0.23 Nurses With Administrative Duties - Full Time: 2.50 Persons Not Included In Any Other Categories - Full Time: 1.29 Physical Therapists - Under Contract: 0.43 Registered Nurses - Full Time: 7.97 Rn Director Of Nursing - Full Time: 1.26 Social Workers - Full Time: 1.26 Activities Professionals - Full Time: 2.14 Occupational Therapists - Under Contract: 0.43 Pharmacists - Under Contract: 0.11 Food Service Personnel - Under Contract: 8.11 Persons Not Included In Any Other Categories - Under Contract: 1.20 Podiatrists - Under Contract: 0.11 Speech Pathologists - Under Contract: 1.14 Housekeeping Personnel - Under Contract: 8.24 Other Physicians - Under Contract: 0.23 Physician Extenders - Under Contract: 0.03 Registered Nurses - Part Time: 0.14 Occupational Therapy Assistants - Under Contract: 0.29 Physical Therapy Aide - Under Contract: 1.14 Provided Services
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of long-stay residents who received an antipsychotic medication
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Complaint DeficiencyProvide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)Exits that are accessible at all times: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm) Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm) Keep each resident free from physical restraints, unless needed for medical treatment: Some (Minimal harm or potential for actual harm) Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Some (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm) Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Immediate jeopardy to resident health or safety) 1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Many (Potential for minimal harm) Approved construction type or materials: Few (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm) Properly protected cooking facilities: Some (Minimal harm or potential for actual harm) Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm) Weekly inspections and monthly testing of generators: Some (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) 1) Hire only people with 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: Few (Minimal harm or potential for actual harm) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm) 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: Few (Minimal harm or potential for actual harm) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm) Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm) Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal harm) Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm) Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Potential for minimal harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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