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AUTUMN WOODS RESIDENTIAL HLTH

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AUTUMN WOODS RESIDENTIAL HLTH VS
All other Nursing Homes USA
General
City WARREN   vs 0.1% Nursing Homes USA have WARREN
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 29800 HOOVER RD  
Zip Code 48093  
Phone 5865743444  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(2.17 lower than average)
vs
3.17

Number of Certified Beds
330  (221.06 higher than average)
vs
108.94

Total Number of Residents
275  (183.75 higher than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 2/17/2012  
Fire Survey Date 2/17/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(54.31 lower than average)
vs
56.31

# of deficiencies
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
275  (183.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.33  (0.44 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.5 - 2.0  (0.34 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.83  (0.76 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/16/2012
date Of Correction: 03/23/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/09/2011
date Of Correction: 02/16/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/09/2011
date Of Correction: 02/16/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 03/16/2012
date Of Correction: 03/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 01/19/2011
date Of Correction: 01/29/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 08/12/2009
date Of Correction: 09/01/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/16/2012
date Of Correction: 03/23/2012 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/12/2009
date Of Correction: 09/01/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/16/2012
date Of Correction: 03/23/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.8 % (6.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (30.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
13.3 % (3.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 7.9:1 % 
Percent of long-stay residents who lose too much weight 12.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.3 % (20.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (14.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.6 % (9.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.7 % (22.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.4 % (43.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
11.9 % (13.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79 % (5.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73.3 % (10.64 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.9 % (43 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.9 % (11.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.6 % (8.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.9-24 % (2.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
8.2 % (1.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.8 % (1.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
64.2 % (20.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 % (8.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.9 % (6.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4 % (15.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.2 % (37.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.3 % (6.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 11.6:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.7 % (5.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.5 % (5.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18.6 (65.5) % (1.26 % higher than average)
vs
17.34 %



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