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HOUGHTON CO MED CARE FACILITY

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HOUGHTON CO MED CARE FACILITY VS
All other Nursing Homes USA
General
City HANCOCK   vs 0% Nursing Homes USA have HANCOCK
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 1100 QUINCY ST  
Zip Code 49930  
Phone 9064825050  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

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

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds 197 / 253   vs 0.1% Nursing Homes USA have 197 / 253
Total Number of Residents
184  (92.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 7/28/2011  
Fire Survey Date 7/28/2011  
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
Type of Ownership Government - County  vs 2.9% Nursing Homes USA have Government - County
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
25  (17.52 higher than average)
vs
7.48

Staff Information
Number of Residents
184  (92.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.8  (0.03 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.3  (0.54 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.11  (0.48 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 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: 10/20/2011
date Of Correction: 11/25/2011 

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: 05/20/2010
date Of Correction: 07/09/2010 

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: 11/19/2009
date Of Correction: 01/08/2010 

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: 05/01/2012
date Of Correction: 05/25/2012 

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: 05/01/2012
date Of Correction: 05/25/2012 

Deficiency #3 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: 05/01/2012
date Of Correction: 05/25/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/25/2012
date Of Correction: 02/17/2012 

Deficiency #5 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: 01/25/2012
date Of Correction: 02/17/2012 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 01/19/2012
date Of Correction: 02/17/2012 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/19/2009
date Of Correction: 01/08/2010 

Deficiency #8 Scope: Some
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: 11/19/2009
date Of Correction: 01/08/2010 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/19/2009
date Of Correction: 01/08/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 01/19/2012
date Of Correction: 02/17/2012 

Deficiency #2 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: 10/20/2011
date Of Correction: 11/25/2011 

Deficiency #3 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: 10/27/2010
date Of Correction: 12/03/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 05/20/2010
date Of Correction: 07/09/2010 

Deficiency #5 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: 05/20/2010
date Of Correction: 07/09/2010 

Deficiency #6 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: 07/16/2009
date Of Correction: 08/28/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/15/2012
date Of Correction: 02/18/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/15/2012
date Of Correction: 02/18/2012 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/15/2012
date Of Correction: 02/18/2012 

Deficiency #4 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: 07/28/2011
date Of Correction: 09/05/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/27/2010
date Of Correction: 03/12/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/27/2010
date Of Correction: 03/12/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 01/27/2010
date Of Correction: 03/12/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17 % (8.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
20 % (3.34 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.5 % (5.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.1 % (4.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.9 % (1.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 % (13.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.2 % (5.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.6 % (26.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.6 % (37.08 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
45.5 % (20.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.7 % (11.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 % (11.76 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.8 % (11.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.7 % (7.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.7 % (3.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.7 % (1.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.7 % (0.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.4 % (17.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.1 % (33.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.9 % (5.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.2 % (1.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94 % (12.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.7 % (13.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 13.1:1 % 


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