HILLTOP MANOR HEALTH CARE CENTER

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General
City	ROSCOMMON	vs	0% Nursing Homes USA have ROSCOMMON
State attribute explanation	MI	vs	2.8% Nursing Homes USA have MI	compare MI Nursing Homes USA
Street	1290 E MICHIGAN HWY
Zip Code	48653
Phone	9892758936
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (1)
Number of Certified Beds	118 (9.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (118)
Total Number of Residents	76 (15.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (76)
Percent of Occupied Beds	64 % (19.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (64) %
Health Survey Date	1/5/2012
Fire Survey Date	1/9/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully 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 - Limited Liability Company	vs	1.1% Nursing Homes USA have For profit - Limited liability company	compare For profit - Limited liability company 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?	Yes	vs	54.9% Nursing Homes USA 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	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	23 (15.52 higher than average)	vs	7.48

Staff Information
Number of Residents	76 (15.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.26 (0.51 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.37 (0.47 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	0.63 (0.96 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.04 (5.45 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.04 (0.06 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		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: 06/11/2012 date Of Correction: 06/12/2012
Deficiency #2		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: 03/12/2012 date Of Correction: 04/06/2012
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: 10/13/2011 date Of Correction: 10/26/2011
Deficiency #4		Scope: Some level Of Harm: 4 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 07/14/2011 date Of Correction: 08/01/2011
Deficiency #5		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: 05/17/2011 date Of Correction: 06/06/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/20/2011 date Of Correction: 01/20/2012
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: 12/20/2011 date Of Correction: 01/20/2012
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: 12/17/2009 date Of Correction: 02/05/2010
Deficiency #4		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: 12/17/2009 date Of Correction: 02/05/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 06/03/2009 date Of Correction: 06/29/2009
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 06/03/2009 date Of Correction: 06/29/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 06/03/2009 date Of Correction: 06/29/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 03/12/2012 date Of Correction: 04/06/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 01/12/2012 date Of Correction: 02/03/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/07/2010 date Of Correction: 12/21/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week. survey Date: 06/03/2009 date Of Correction: 06/29/2009
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 06/03/2009 date Of Correction: 06/29/2009
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 06/03/2009 date Of Correction: 06/29/2009
Deficiency #7		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: 06/03/2009 date Of Correction: 06/29/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 10/13/2011 date Of Correction: 10/26/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor. survey Date: 12/07/2010 date Of Correction: 12/21/2010
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 06/03/2010 date Of Correction: 07/12/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 06/03/2010 date Of Correction: 08/31/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	24.6 % (0.49 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher 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	5.4 % (7.18 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	2.9 % (8.93 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.3 % (9.33 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	7.4 % (6.06 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	2.9 % (25.48 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	5.8 % (37.88 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	21.2:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	61 % (23.64 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	82.9 % (1.04 % 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	7.2 % (8.32 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	18.7 % (6.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (51.5 % higher than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	9 % (5.1 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	3.2 % (6.02 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	3.8 % (4.7 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	44 % (0.62 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.7 % (4.95 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	5.2 % (4.38 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	6.2 % (13.66 % 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	3.7 % (7.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	23.8:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	40 % (41.44 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	77.4 % (2.65 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	29.1 % (11.76 % higher than average)	vs	17.34 %