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IMPERIAL HEALTHCARE CENTRE

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IMPERIAL HEALTHCARE CENTRE VS
All other Nursing Homes USA
General
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine 1 % 
City DEARBORN HEIGHTS   vs 0% Nursing Homes USA have DEARBORN HEIGHTS
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 26505 POWERS AVE  
Zip Code 48125  
Phone 3132916200  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
265  (156.06 higher than average)
vs
108.94

Total Number of Residents
249  (157.75 higher than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 9/23/2011  
Fire Survey Date 9/23/2011  
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 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 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
(52.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(49.31 lower than average)
vs
56.31

# of deficiencies
17  (9.52 higher than average)
vs
7.48

Staff Information
Number of Residents
249  (157.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.32  (0.45 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.81  (0.03 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 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: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 12/09/2011
date Of Correction: 12/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 08/02/2011
date Of Correction: 08/17/2011 

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: 06/30/2011
date Of Correction: 07/15/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/13/2011
date Of Correction: 05/20/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/20/2010
date Of Correction: 10/08/2010 

Mistreatment Deficiencies
Deficiency #1 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: 06/25/2012
date Of Correction: 07/11/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 12/09/2011
date Of Correction: 12/28/2011 

Deficiency #3 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: 09/20/2010
date Of Correction: 10/08/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/20/2010
date Of Correction: 10/08/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/02/2010
date Of Correction: 06/03/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 09/28/2011
date Of Correction: 10/01/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/02/2011
date Of Correction: 08/17/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/02/2011
date Of Correction: 08/17/2011 

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: 06/30/2011
date Of Correction: 07/15/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 09/28/2009
date Of Correction: 10/20/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/27/2009
date Of Correction: 05/15/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 09/20/2010
date Of Correction: 10/08/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.5 % (30.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.9 % (6.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.3 % (4.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.2 % (4.34 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (10.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
19.7 % (6.24 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.5 % (25.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
19.8 % (23.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
24.2 % (0.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
39.4 % (45.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
37.9 % (46.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.5 % (42.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.1 % (13.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.5 % (0.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.1 % (20.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.20 % (11.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (4.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.6 % (2.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.7 % (7.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.9 % (16.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 18.1:1 % 
Percent of long-stay residents experiencing one or more falls with major injury
3 % (7.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25.1 % (0.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
42.4 % (39.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
37.9 % (36.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 8.6:1 % 


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