GREENFIELD REHAB AND NURSING CENTER

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General
City	ROYAL OAK	vs	0% Nursing Homes USA have ROYAL OAK
State attribute explanation	MI	vs	2.8% Nursing Homes USA have MI	compare MI Nursing Homes USA
Street	3030 GREENFIELD AVE
Zip Code	48073
Phone	2482886610
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (2)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	151 (42.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (151)
Total Number of Residents	107 (15.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (107)
Percent of Occupied Beds	71 % (12.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (71) %
Health Survey Date	10/21/2011
Fire Survey Date	10/21/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
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	3 (55.16 lower than average)	vs	58.16
Total Enforcement Actions Count	4 (52.31 lower than average)	vs	56.31
# of deficiencies	17 (9.52 higher than average)	vs	7.48

Staff Information
Number of Residents	107 (15.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.66 (0.11 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.86 (0.02 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.53 (0.06 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.13 (5.36 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.13 (0.03 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 11/16/2010 date Of Correction: 12/20/2010
Deficiency #2		Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/11/2010 date Of Correction: 10/15/2010
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 07/09/2010 date Of Correction: 08/28/2010

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: 01/30/2012 date Of Correction: 03/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 01/18/2011 date Of Correction: 03/07/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 11/16/2010 date Of Correction: 12/20/2010
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 11/16/2010 date Of Correction: 12/20/2010

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: 01/18/2011 date Of Correction: 03/07/2011
Deficiency #2		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: 07/23/2010 date Of Correction: 09/11/2010
Deficiency #3		Scope: Some 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: 05/12/2009 date Of Correction: 06/30/2009
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 05/12/2009 date Of Correction: 06/30/2009

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: 05/12/2009 date Of Correction: 06/30/2009
Deficiency #2		Scope: Some 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: 05/12/2009 date Of Correction: 06/30/2009
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/12/2009 date Of Correction: 06/30/2009
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 05/12/2009 date Of Correction: 06/30/2009
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 05/12/2009 date Of Correction: 06/30/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 05/12/2009 date Of Correction: 06/30/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	16.7 % (8.39 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.4 % (31.55 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	8.4 % (8.26 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	10.3:1 %
Percent of long-stay residents who lose too much weight	5.7 % (6.13 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.1 % (12.53 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	12.4-2413.6-24 % (1.06 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	6.7 % (21.68 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	4.3 % (39.38 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	32.9 % (7.88 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	35.8 % (48.84 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	31.5 % (52.44 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	2 % (43.9 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	2.20 % (13.32 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	15.2 % (10.19 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	1.1 % (22.6 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	9.1 % (5 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	10.7:1 %
Percent of long-stay residents who lose too much weight	7.3 % (1.2 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	54.2 % (10.82 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.7 % (5.95 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	13.3 % (3.72 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	11.5 % (8.36 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	4.1 % (34.43 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.7 % (10.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	35.3 % (10.54 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	39.9 % (41.54 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	27.9 % (46.85 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	10.5 % (6.84 % lower than average)	vs	17.34 %