| Meadowbrook Healthcare | |
| 154 North Prospect Avenue, Plattsburgh, New York 12901 | |
| (518) 563-5440 | |
| Name | Meadowbrook Healthcare |
|---|---|
| Location | 154 North Prospect Avenue, Plattsburgh, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 287 |
| Occupancy Rate | 82.23% |
| Medicare ID (CCN) | 335438 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1629965918 |
| Match | Possible same name, address or phone number |
| Organization Name | Meadowbrook Operating LLC |
| Doing Business As | Meadowbrook Healthcare |
| Address | 154 Prospect Ave, Plattsburgh, NY 12901 |
| Phone Number | 518-563-5440 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.44 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.86 |
| Nurse aide hours per resident per day | 2.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.98 | 3.42 |
| RN hours per resident per day on the weekend | 0.48 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 49% | 45.8% |
| Registered nurse turnover | 26.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 20, 2024 |
| Oct 25, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 20, 2024 |
| Oct 25, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 21, 2024 |
| Oct 25, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 21, 2024 |
| Oct 25, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Oct 25, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 21, 2024 |
| Oct 25, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Minimal harm potential, widespread | Past non-compliance (already corrected) |
| Feb 28, 2019 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836, Administration, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Feb 28, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.15 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.03 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.37 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 28.21 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.27 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.49 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.09 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.82 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.22 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.25 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.59 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.04 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.94 | 15.38 |
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