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CARDINAL WOODS SKILLED NURSING AND REHAB CTR - MADISON, OH

 



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Address
6831 CHAPEL ROAD
MADISON, OH, 44057
Phone (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 Equivalent

Administrative Staff - Full Time: 9.93
Administrative 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

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Vocational Services Are Provided Offsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

9.1%
State:

14.9%
Percent of long-stay residents who self-report moderate to severe pain
Here:

25.5%
State:

12.5%
Percent of long-stay high-risk residents with pressure ulcers
Here:

10.5%
Ohio:

6.3%
Percent of long-stay residents who lose too much weight
This Nursing Home:

7.4%
State:

7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

46.3%
State:

38.6%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

7.1%
State:

4.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

15.9%
Ohio:

7.7%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

45.8%
Ohio:

16.2%
Percent of long-stay residents who were physically restrained
Here:

7.3%
State:

2.4%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

3.7%
Ohio:

3.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

95.1%
Ohio:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

87.8%
State:

94.8%
Percent of short-stay residents who self-report moderate to severe pain
Here:

35.9%
Ohio:

26.0%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

1.2%
Ohio:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

90.4%
State:

86.0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

76.2%
State:

84.9%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

27.0%
State:

24.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.570
State:

0.670
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.080
State:

0.885
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.640
State:

1.552
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.020
Ohio:

0.066
Number Therapy Hours Per Resident Per Day
Here:

0.020
State:

0.069

Complaint Deficiency

Provide 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)

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