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HOLLY CONVALESCENT CENTER

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HOLLY CONVALESCENT CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City HOLLY   vs 0% Nursing Homes USA have HOLLY
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 313 SHERWOOD ST  
Zip Code 48442  
Phone 2486349281  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
66  (42.94 lower than average)
vs
108.94

Total Number of Residents
65  (26.25 lower than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 1/6/2012  
Fire Survey Date 1/9/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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 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
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
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
65  (26.38 lower 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
0.35  (0.49 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.92  (0.67 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 10/14/2010
date Of Correction: 10/22/2010 

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: 08/09/2010
date Of Correction: 08/15/2010 

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: 02/11/2010
date Of Correction: 03/15/2010 

Deficiency #4 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: 09/16/2009
date Of Correction: 10/26/2009 

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: 03/29/2011
date Of Correction: 04/25/2011 

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: 08/09/2010
date Of Correction: 08/15/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/16/2009
date Of Correction: 10/26/2009 

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: 05/06/2009
date Of Correction: 06/24/2009 

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: 10/14/2010
date Of Correction: 10/22/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
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: 09/16/2009
date Of Correction: 10/26/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 08/09/2010
date Of Correction: 08/15/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40.4 % (15.31 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
18.5 % (1.84 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.7 % (6.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.3 % (5.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.2 % (8.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.2 % (7.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.9 % (23.48 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
27.7 % (15.98 % lower than average)
vs
43.68 %

Percent of long-stay residents experiencing one or more falls with major injury
9.2 % (6.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.7 % (12.31 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
15.1 % (1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2 % (7.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.8 % (1.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
70.3 % (26.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.3 % (1.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.4 % (16.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
27.1 % (11.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
11.4 % (0.67 % higher than average)
vs
10.73 %



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