General Information: CADIA REHABILITATION BROADMEADOW
Nursing home name CADIA REHABILITATION BROADMEADOW
Address500 SOUTH BROAD STREET
MIDDLETOWN, DE 19709
Phone number (302) 449-3400
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 120
Total number of residents 112
Perc of occupied beds 93
Sprinkler status Yes
Last health survey date 03/06/2012
Fire survey date: 03/06/2012
Ratings Summary: CADIA REHABILITATION BROADMEADOW
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: CADIA REHABILITATION BROADMEADOW
National AverageCADIA REHABILITATION BROADMEADOW
Overall staff rating Not Available. 4
4
Registered Nurses only rating Not Available 4
4
Total Number of Residents 88.1 112.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.91 hours
Registered Nurses Hours per Residents per Day 29.0 hours .92 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .99 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .92 hours
Health Inpections: CADIA REHABILITATION BROADMEADOW
Inspection Results: 03/06/2012
CorrectedCategoryDeficiencySeverity
05/15/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. E
05/15/2012Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
05/15/2012Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
05/15/2012Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
05/15/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
05/15/2012Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
05/15/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
05/15/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
05/15/2012Resident Assessment DeficienciesEnsure each resident receives an accurate assessment by a qualified health professional. D
05/15/2012Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
05/15/2012Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
05/15/2012Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D
Inspection Results: 01/18/2011
CorrectedCategoryDeficiencySeverity
03/25/2011Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. B
03/25/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
03/25/2011Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
03/25/2011Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. E
03/25/2011Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
03/25/2011Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. E
03/25/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
03/25/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
03/25/2011Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
03/25/2011Resident Rights DeficienciesGive notice to the resident before a room or roommate change. B
Inspection Results: 02/25/2009
CorrectedCategoryDeficiencySeverity
04/24/2009Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. B
04/24/2009Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
04/24/2009Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both. E
04/24/2009Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
04/24/2009Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
04/24/2009Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
04/24/2009Environmental DeficienciesDispose of garbage and refuse properly. B
04/24/2009Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
04/24/2009Nutrition and Dietary DeficienciesMake sure that special or therapeutic diets are ordered by the attending doctor. D
04/24/2009Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
04/24/2009Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
04/24/2009Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
04/24/2009Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
04/24/2009Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
04/24/2009Quality Care DeficienciesMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves. D
04/24/2009Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
04/24/2009Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
04/24/2009Environmental DeficienciesProvide clean bed and bath linens that are in good condition. B
04/24/2009Environmental DeficienciesProvide housekeeping and maintenance services. D
04/24/2009Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident. D
04/24/2009Resident Rights DeficienciesEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. D
04/24/2009Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. B
04/24/2009Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
04/24/2009Mistreatment Deficiencies1) 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. D
04/24/2009Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D

Fire Safety Inpections: CADIA REHABILITATION BROADMEADOW
Inspection Results: 01/11/2011
CorrectedCategoryDeficiencySeverity
02/07/2011Hazardous Area DeficienciesProperly installed hallway dispensers for alcohol-based hand rub. D
02/07/2011Automatic Sprinkler Systems DeficienciesAn approved automatic sprinkler system connected to the fire alarm system. D
02/07/2011Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
Inspection Results: 02/18/2009
CorrectedCategoryDeficiencySeverity
03/31/2009Miscellaneous DeficienciesOther fire safety features required by fire safety codes. C
03/31/2009Electrical DeficienciesWeekly inspections and monthly testing of generators. D
03/31/2009Electrical DeficienciesProperly installed electrical wiring and equipment. F
03/31/2009Building Service Equipment DeficienciesProperly protected cooking facilities. C
03/31/2009Automatic Sprinkler Systems DeficienciesPortable fire extinguishers. C
03/31/2009Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
03/31/2009Exits and Egress DeficienciesExits that are accessible at all times. C
03/31/2009Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. C

Resident Complaints: CADIA REHABILITATION BROADMEADOW
Date Complaint Substantiated: 02/25/2013
CorrectedCategoryDeficiencySeverity
04/08/2013Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
Date Complaint Substantiated: 09/21/2011
CorrectedCategoryDeficiencySeverity
11/15/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 01/18/2011
CorrectedCategoryDeficiencySeverity
03/25/2011Environmental DeficienciesHave a program that investigates D
03/25/2011Administration DeficienciesKeep accurate B
03/25/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
03/25/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
03/25/2011Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs D
03/25/2011Resident Rights DeficienciesGive notice to the resident before a room or roommate change. B
Date Complaint Substantiated: 07/21/2010
CorrectedCategoryDeficiencySeverity
10/20/2010Environmental DeficienciesHave a program that investigates D
10/20/2010Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly D
10/20/2010Pharmacy Service DeficienciesAt least once a month D
10/20/2010Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
10/20/2010Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. D
10/20/2010Quality Care DeficienciesGive each resident enough fluids to keep them healthy and prevent dehydration. G
10/20/2010Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter G
10/20/2010Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. G
10/20/2010Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
10/20/2010Mistreatment Deficiencies1) Hire only people with no legal history of abusing D
10/20/2010Resident Rights DeficienciesImmediately tell the resident D

Quality Measures: CADIA REHABILITATION BROADMEADOW
Quality MeasuresNational AverageCADIA REHABILITATION BROADMEADOW
Overall quality rating Not Available 5
5
Long-Stay Residents
Percent of long-stay high-risk residents with pressure ulcers. 19% 1.1000000000000001%
Percent of long-stay residents who lose too much weight. 16% 3.8999999999999999%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 35.100000000000001%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 25%
Percent of long-stay residents who self-report moderate to severe pain. 22% 7.7999999999999998%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 0%
Percent of long-stay residents who have depressive symptoms. 16% 9.4000000000000004%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 2.6000000000000001%
Percent of long-stay residents who were physically restrained. 11% 0%
Percent of long-stay residents who received an antipsychotic medication. 31% 19.399999999999999%
Percent of long-stay residents with a urinary tract infection. 16% 10.4%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 97.799999999999997%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 96.900000000000006%
Short-Stay Residents
Percent of short-stay residents who self-report moderate to severe pain. 36% 20.899999999999999%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 0.20000000000000001%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 2.1000000000000001%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 96.299999999999997%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 97%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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