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JACKSON COUNTY MEDICAL CARE FACILITY

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JACKSON COUNTY MEDICAL CARE FACILITY VS
All other Nursing Homes USA
General
City JACKSON   vs 0.2% Nursing Homes USA have JACKSON
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 524 LANSING AVE  
Zip Code 49201  
Phone 5177828500  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
194  (85.06 higher than average)
vs
108.94

Total Number of Residents
188  (96.75 higher than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 10/28/2011  
Fire Survey Date 10/26/2011  
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
(55.31 lower than average)
vs
56.31

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
186  (94.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.79  (0.02 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.71  (0.13 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.50  (0.09 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: 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: 03/14/2012
date Of Correction: 04/05/2012 

Deficiency #2 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: 02/22/2012
date Of Correction: 02/23/2012 

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: 06/29/2010
date Of Correction: 07/10/2010 

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: 06/29/2010
date Of Correction: 07/10/2010 

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: 05/13/2011
date Of Correction: 06/22/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 05/13/2011
date Of Correction: 06/22/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 05/13/2011
date Of Correction: 06/22/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/22/2009
date Of Correction: 07/17/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/22/2009
date Of Correction: 07/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/22/2009
date Of Correction: 07/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 8.1 / 8.8 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (31.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 9.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.8 % (7.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.7 % (8.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.4 % (9.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (11.83 % 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
3.8 % (24.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
33.3 % (8.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 % (10.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.4 % (5.46 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.3 % (44.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
7.3 % (8.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 8.1 / 8.8 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (20.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 12.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers 5.6:1 % 
Percent of long-stay residents who lose too much weight
4.5 % (4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
54.2 % (10.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 % (5.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9 % (0.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.1 % (15.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
6.6 % (4.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31 % (6.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.7 % (1.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.7 % (9.95 % 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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