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INN AT FREEDOM VILLAGE, THE

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INN AT FREEDOM VILLAGE, THE VS
All other Nursing Homes USA
General
City Holland  vs 0% Nursing Homes USA have Holland
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 145 COLUMBIA AVE  
Zip Code 49423  
Phone 6168207679  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
39  (69.94 lower than average)
vs
108.94

Total Number of Residents
30  (61.25 lower than average)
vs
91.25

Percent of Occupied Beds
77 % (6.65 % lower than average)
vs
83.65 %

Health Survey Date 6/22/2012  
Fire Survey Date 6/21/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
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? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
30  (61.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
2.38  (1.61 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.68  (0.16 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
3.05  (1.46 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.19  (5.3 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.19  (0.09 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
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: 10/07/2010
date Of Correction: 10/26/2010 

Deficiency #2 Scope: Some
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: 10/07/2010
date Of Correction: 10/26/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
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: 07/14/2010
date Of Correction: 08/13/2010 

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: 10/07/2010
date Of Correction: 10/26/2010 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/14/2010
date Of Correction: 08/13/2010 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/14/2010
date Of Correction: 08/13/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 3
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/14/2010
date Of Correction: 08/13/2010 

Quality Measures Q1
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 short-stay residents who self-report moderate to severe pain
24.3 % (0.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 % (8.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.3 % (10.36 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.50 % (44.4 % lower than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of short-stay residents who self-report moderate to severe pain
21.7 % (3.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.6 % (12.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 % (19.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (15.24 % lower than average)
vs
17.34 %



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