MEADOW PARK REHAB HEALTH CENTER LLC

Nursing Home Inspector

78-10 164TH STREET
FLUSHING, NY 11366
Queens County
Phone: 718-969-0695
Provider Number: 335143
Last Inspection: 10/19/2016

About the Nursing Home

Number of Beds: 143
Number of Residents: 138
Beds Available: 5
Percent Occupancy: 97%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

23

Facility
7

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2016
16

2015
8

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/19/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Immediate 7 11/7/2016
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 11/7/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 11/7/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 11/7/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread : Immediate 7 11/7/2016
 

8/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 10/15/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 10/15/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 10/15/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 10/15/2015
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Pattern : Minimal 4 10/15/2015
 

9/22/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/18/2014
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/18/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/21/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 138 195.05 167.28
Registered Nurses 0.54 0.73 0.74
Licensed Practical / Vocational Nurses 0.63 0.65 0.84
Certified Nursing Assistants 2.31 2.07 2.30
Total Staff Hours 3.48 3.45 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 8 8 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 96 96
of long-stay residents experiencing one or more falls with major injury 1 1 2
of long-stay residents who have depressive symptoms 29 14 8
of long-stay residents who lose too much weight 6 5 6
of long-stay residents who received an antianxiety or hypnotic medication 16 13 15
of long-stay residents who received an antipsychotic medication 17 13 13
of long-stay residents who self-report moderate to severe pain 0 1 3
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 14 12 16
of long-stay residents whose need for help with daily activities has increased 9 11 13
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 2 3 3
of low risk long-stay residents who lose control of their bowels or bladder 49 39 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 88 76 81
of short-stay residents who had an outpatient emergency department visit 12 7 9
of short-stay residents who made improvements in function 74 65 68
of short-stay residents who newly received an antipsychotic medication 4 2 1
of short-stay residents who self-report moderate to severe pain 1 5 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85 77 82
of short-stay residents who were rehospitalized after a nursing home admission 37 23 21
of short-stay residents who were successfully discharged to the community 27 42 48
of short-stay residents with pressure ulcers that are new or worsened 2 0 0