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 103
Perc of occupied beds 85
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints4
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: CADIA REHABILITATION BROADMEADOW
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: CADIA REHABILITATION BROADMEADOW
National AverageDelaware AverageCADIA REHABILITATION BROADMEADOW
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 103
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.53 hours 4.13 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 2.03 hours 1.72 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.81 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.88 hours 0.92 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.5 hours 2.41 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.11 hours 0.11 hours
Health Survey: CADIA REHABILITATION BROADMEADOW
Heath Survey Summary on 2013-06-12
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-03-06
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-01-18
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: CADIA REHABILITATION BROADMEADOW
Inspection Results: 06/12/2013
Corrected Deficiency Scope and Severity
07/23/2013 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. Isolated/Minimal harm or potential for actual harm
07/23/2013 Provide housekeeping and maintenance services. Pattern/Potential for minimal harm
07/23/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
07/23/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
07/23/2013 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
07/23/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
07/23/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
07/23/2013 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
07/23/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
07/23/2013 Dispose of garbage and refuse properly. Widespread/Potential for minimal harm
07/23/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
07/23/2013 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
07/23/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/06/2012
Corrected Deficiency Scope and Severity
05/15/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
05/15/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
05/15/2012 Ensure 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. Isolated/Minimal harm or potential for actual harm
05/15/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
05/15/2012 Ensure 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. Isolated/Minimal harm or potential for actual harm
05/15/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
05/15/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
05/15/2012 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
05/15/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
05/15/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/15/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
05/15/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
Inspection Results: 01/18/2011
Corrected Deficiency Scope and Severity
03/25/2011 Give notice to the resident before a room or roommate change. Pattern/Potential for minimal harm
03/25/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
03/25/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/25/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
03/25/2011 Ensure 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. Pattern/Minimal harm or potential for actual harm
03/25/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
03/25/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm
03/25/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
03/25/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
03/25/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Potential for minimal harm

Fire Safety Survey: CADIA REHABILITATION BROADMEADOW
Fire Safety Survey Summary on 2013-06-12
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-03-06
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-01-11
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: CADIA REHABILITATION BROADMEADOW
Fire Safety Survey Results: 01/11/2011
Corrected Deficiency Severity
02/07/2011 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm
02/07/2011 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
02/07/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm

Resident Complaints: CADIA REHABILITATION BROADMEADOW
Date Complaint Substantiated: 02/25/2013
CorrectedCategoryDeficiencySeverity
04/08/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 09/21/2011
CorrectedCategoryDeficiencySeverity
11/15/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D

Quality Measures: CADIA REHABILITATION BROADMEADOW
Quality Measures National Average Delaware Average CADIA REHABILITATION BROADMEADOW
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.0% 18.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.5% 7.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.8% 3.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.5% 1.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 31.6%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 1.8% 0.8%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.9% 6.4%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.4% 6.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.7% 98.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.5% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.3% 15.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 15.6% 7.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 87.1% 94.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 87.5% 95.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.6% 1.0%

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