Meadowbrook Rehabilitation Hospital in Gardner, KS is owned by a for-profit corporation, in Gardner, KS, in zipcode 66030, is Medicaid certified, Medicare certified, had a deficiency in how to add doors in an exit area that doesn't require the use of a key from the exit side unless in case of special locking arrangements, had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to install emergency lighting that can last at least 1 1/2 hours, has a Resident Council, has automatic sprinklers in all required areas, improved or reached best on scores over the last two years (3 in total), doesn't have facility-reported incidents, substantiated complaints, fines, or payment denials, had a deficiency in both health and fire safety, has a 5-star rating in each of overall, staffing, and registered-nurse staffing, has a 4- or 5-star rating in each of overall, health inspection, staffing, and registered-nurse staffing (4 total), is worse than the nationwide mental-health averages in both short-stay residents who newly received an antipsychotic medication and long-stay residents who have depressive symptoms, is better than the nationwide mental-health averages in long-stay residents who received an antipsychotic medication, is worse than the nationwide hospital-related averages in both short-stay residents who were rehospitalized after a nursing home admission and hospitalizations per 1,000 long-stay resident days, is better than the nationwide hospital-related averages in both short-stay residents who had an outpatient emergency department visit and outpatient emergency department visits per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who made improvements in function, newly received an antipsychotic medication, and were rehospitalized after a nursing home admission, is better than the nationwide averages in short-stay residents who were assessed and appropriately given the pneumococcal vaccine, were assessed and appropriately given the seasonal influenza vaccine, and had an outpatient emergency department visit, is worse than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, has a urinary tract infection, and needed increased help with daily activities (4 total), and is better than the nationwide physical-health averages in long-stay residents who were physically restrained, had a catheter inserted and left in their bladder, were low-risk and lost control of their bowels or bladder, and lose too much weight (4 total).

• incentive bonus payments per $1M in claims ($7,121)
• total fines ($0)
• total fines per resident ($0.00, but changed to n/a because the number of residents in certified beds must be at least 40.)
• change in total fines over two years ($0)
• long-stay residents assessed and appropriately given the pneumococcal vaccine (100%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents assessed and appropriately given the seasonal influenza vaccine (100%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (100%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents assessed and appropriately given the pneumococcal vaccine (99.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• certified-bed occupancy rate (77.9%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who made improvements in function (58.5%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• low-risk long-stay residents who lose control of their bowels or bladder (42.4%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who were rehospitalized or had an outpatient emergency department visit (31.4%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents who received an antianxiety or hypnotic medication (26.5%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents whose ability to move independently worsened (25.6%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who were rehospitalized after a nursing home admission (25.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents with a urinary tract infection (17.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents whose need for help with daily activities has increased (15.8%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents who have depressive symptoms (11.5%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents who received an antipsychotic medication (11.1%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• high-risk long-stay residents with pressure ulcers (7.4%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who had an outpatient emergency department visit (6.4%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents experiencing one or more falls with major injury (3.4%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• short-stay residents who newly received an antipsychotic medication (3.2%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents with a catheter inserted and left in their bladder (0.7%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents who were physically restrained (0.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• long-stay residents who lose too much weight (0.0%, but changed to n/a because the number of residents in certified beds must be at least 40.)
• change in health-inspection rating over two years (0 stars)
• change in overall rating over two years (+2 stars)
• change in quality-measures rating over two years (+2 stars)
• change in residents in certified beds over two years (-3.0)
• change in staffing rating over two years (+1 star)
• health-inspection rating (4 stars)
• long-stay quality-measures rating (3 stars)
• overall rating (5 stars)
• quality-measures rating (3 stars)
• registered-nurse staffing rating (5 stars)
• RN staffing hours per resident per day (1.07)
• short-stay quality-measures rating (3 stars)
• staffing rating (5 stars)
• total nurse staffing hours per resident per day (4.95)
• change in facility-reported incidents or substantiated complaints over two years (-2)
• change in last-inspection-cycle health-deficiency score over two years (-4)
• change in last-inspection-cycle total health-inspection score over two years (-4)
• change in total last-inspection-cycle fire-safety deficiencies over two years (-4)
• change in total last-inspection-cycle health deficiencies over two years (+3)
• change in total weighted health survey score over two years (-1.2)
• count of administration deficiencies (0)
• count of automatic sprinkler systems deficiencies (0)
• count of construction deficiencies (0)
• count of corridor walls and doors deficiencies (0)
• count of electrical deficiencies (0)
• count of emergency plans and fire drills deficiencies (0)
• count of emergency preparedness deficiencies (2)
• count of environmental deficiencies (0)
• count of exit deficiencies (2)
• count of fire alarm systems deficiencies (0)
• count of freedom from abuse, neglect, and exploitation deficiencies (0)
• count of gas, vacuum, and electrical systems deficiencies (0)
• count of hazardous area deficiencies (0)
• count of illumination and emergency power deficiencies (0)
• count of interior deficiencies (0)
• count of laboratories deficiencies (0)
• count of medical gases and anesthetizing areas deficiencies (0)
• count of miscellaneous deficiencies (1)
• count of nursing and physician services deficiencies (0)
• count of nutrition and dietary deficiencies (0)
• count of pharmacy service deficiencies (3)
• count of quality of life and care deficiencies (1)
• count of resident assessment and care planning deficiencies (2)
• count of resident rights deficiencies (1)
• count of services deficiencies (0)
• count of smoke deficiencies (0)
• count of smoking regulations deficiencies (0)
• facility-reported incidents (0)
• facility-reported incidents or substantiated complaints (0)
• facility-reported incidents or substantiated complaints per 100 residents in a certified bed (0.0, but changed to n/a because the number of residents in certified beds must be at least 40.)
• fines (0)
• health deficiencies during the last inspection cycle (7)
• health deficiencies from complaint surveys during the last inspection cycle (5)
• health deficiencies from the standard survey during the last inspection cycle (7)
• health-deficiency score during the last inspection cycle (32)
• hospitalizations per 1,000 long-stay resident days (2.24, but changed to n/a because the number of residents in certified beds must be at least 40.)
• outpatient emergency department visits per 1,000 long-stay resident days (0.42, but changed to n/a because the number of residents in certified beds must be at least 40.)
• payment denials (0)
• substantiated complaints (0)
• total health-inspection score during the last inspection cycle (32)
• total number of fire-safety deficiencies (5)
• total number of health deficiencies (7)
• total penalties (0)
• total weighted health survey score during the last 3 inspection cycles (38)
• certified beds (42)
• change in RN staffing hours per resident per day (+0.3)
• change in total nurse staffing hours per resident per day (+0.5)
• LPN staffing hours per resident per day (1.56)
• Nurse Aide staffing hours per resident per day (2.25)
• residents in certified beds (32.7)
• years certified for Medicare/Medicaid (37.2)

Global References