Compare with other Nursing Homes USA
Compare
Compare
BAY POINTE NURSING PAVILION | VS | All other Nursing Homes USA |
Staff Information | |||||
---|---|---|---|---|---|
Number of Residents |
109 (17.62 higher than average)
|
vs |
91.38
|
||
Number of RN Hours Per Resident Per Day |
0.57 (0.2 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
0.9 (0.06 higher than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
1.46 (0.13 lower than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.1 (5.39 lower than average)
|
vs |
5.49
|
||
Number Therapy Hours Per Resident Per Day |
0.1 (equals average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/03/2010 date Of Correction: 12/20/2010 |
||||
Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Maintain Comfortable Sound Levels. survey Date: 12/03/2010 date Of Correction: 12/20/2010 |
||||
Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 12/03/2010 date Of Correction: 12/20/2010 |
||||
Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 12/03/2010 date Of Correction: 12/20/2010 |
||||
Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/21/2009 date Of Correction: 06/21/2009 |
Resident Rights Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home. survey Date: 07/07/2011 date Of Correction: 08/07/2011 |
||||
Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 06/26/2009 date Of Correction: 07/26/2009 |
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 08/25/2011 date Of Correction: 09/23/2011 |
||||
Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 08/25/2011 date Of Correction: 09/23/2011 |
||||
Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 07/07/2011 date Of Correction: 08/07/2011 |
||||
Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 07/07/2011 date Of Correction: 08/07/2011 |
||||
Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/07/2011 date Of Correction: 08/07/2011 |
||||
Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/08/2010 date Of Correction: 05/08/2010 |
||||
Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 01/15/2010 date Of Correction: 01/18/2010 |
||||
Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 08/18/2009 date Of Correction: 09/18/2009 |
||||
Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/18/2009 date Of Correction: 09/18/2009 |
||||
Deficiency #10 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/18/2009 date Of Correction: 09/18/2009 |
||||
Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 08/18/2009 date Of Correction: 09/18/2009 |
||||
Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 04/11/2009 date Of Correction: 05/11/2009 |
Resident Assessment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients. survey Date: 07/13/2010 date Of Correction: 08/12/2010 |
||||
Deficiency #2 |
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: 05/21/2009 date Of Correction: 06/21/2009 |
||||
Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 04/11/2009 date Of Correction: 05/11/2009 |
Administration Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/07/2011 date Of Correction: 08/07/2011 |
||||
Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 01/15/2010 date Of Correction: 01/18/2010 |
||||
Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 04/11/2009 date Of Correction: 05/11/2009 |
Pharmacy Service Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 08/18/2009 date Of Correction: 09/18/2009 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
15.1 % (9.99 % lower than average)
|
vs |
25.09 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased | 2.6 / 3 % | ||||
Percent of long-stay residents who self-report moderate to severe pain |
4.7 % (11.96 % lower than average)
|
vs |
16.66 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
11.7 % (0.88 % lower than average)
|
vs |
12.58 %
|
||
Percent of long-stay residents who lose too much weight |
3.2 % (8.63 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.1 % (11.53 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
5.3 % (8.16 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
2.4 % (25.98 % lower than average)
|
vs |
28.38 %
|
||
Percent of long-stay residents who were physically restrained |
2.1 % (41.58 % lower than average)
|
vs |
43.68 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
10.2 % (14.82 % lower than average)
|
vs |
25.02 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
77.2 % (7.44 % lower than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
75.9 % (8.04 % lower than average)
|
vs |
83.94 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
2.1 % (43.8 % lower than average)
|
vs |
45.90 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
1.1 % (14.42 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
16.4 % (8.99 % lower than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
2.4 % (21.3 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
3.1 % (11 % lower than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
15.2 % (5.98 % higher than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
5.4 % (3.1 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
25 % (18.38 % lower than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5 % (5.65 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
7.5 % (2.08 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
2.3 % (17.56 % lower than average)
|
vs |
19.86 %
|
||
Percent of long-stay residents who were physically restrained |
2.8 % (35.73 % lower than average)
|
vs |
38.53 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
1.4 % (9.33 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
15.3 % (9.46 % lower than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
49.4 % (32.04 % lower than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
53.2 % (21.55 % lower than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication | 12.1:1 % |