MANOR OF BATTLE CREEK SKILLED NURSING AND REHAB

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General
City	BATTLE CREEK	vs	0.1% Nursing Homes USA have BATTLE CREEK
State attribute explanation	MI	vs	2.8% Nursing Homes USA have MI	compare MI Nursing Homes USA
Street	675 WAGNER DR
Zip Code	49017
Phone	2699696244
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	99 (9.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (99)
Total Number of Residents	59 (32.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (59)
Percent of Occupied Beds	60 % (23.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (60) %
Health Survey Date	12/9/2011
Fire Survey Date	12/7/2011
Sprinkler Status	Partially Sprinklered	vs	8.5% Nursing Homes USA have Partially Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	7 (51.16 lower than average)	vs	58.16
Total Enforcement Actions Count	8 (48.31 lower than average)	vs	56.31
# of deficiencies	16 (8.52 higher than average)	vs	7.48

Staff Information
Number of Residents	59 (32.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.84 (0.07 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.94 (0.1 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.78 (0.19 higher 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: 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: 10/27/2011 date Of Correction: 10/28/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Dispose Of Garbage And Refuse Properly. survey Date: 07/16/2010 date Of Correction: 07/16/2010
Deficiency #3		Scope: Some level Of Harm: 4 deficiency: Maintain Comfortable And Safe Temperature Levels. survey Date: 07/16/2010 date Of Correction: 07/16/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 05/10/2010 date Of Correction: 05/17/2010
Deficiency #5		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: 05/10/2010 date Of Correction: 05/17/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 04/28/2010 date Of Correction: 05/17/2010

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 4 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: 07/16/2010 date Of Correction: 07/16/2010
Deficiency #2		Scope: Some level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 07/16/2010 date Of Correction: 07/16/2010
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 07/31/2009 date Of Correction: 08/25/2009

Resident Rights Deficiencies
Deficiency #1		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: 12/14/2011 date Of Correction: 12/30/2011
Deficiency #2		Scope: Some 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: 04/28/2010 date Of Correction: 05/17/2010

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: 04/06/2010 date Of Correction: 04/20/2010
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/19/2010 date Of Correction: 03/29/2010

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 12/14/2011 date Of Correction: 12/30/2011
Deficiency #2		Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 07/16/2010 date Of Correction: 07/16/2010

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 07/16/2010 date Of Correction: 07/16/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	23.1 % (1.99 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	6.7 % (26.25 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	7.2 % (9.46 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	2.4 % (10.18 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	16.7 % (4.87 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	75.2 % (59.57 % higher than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	14.5 % (1.04 % higher than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	7.1 % (36.58 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	25 % (0.02 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	62.5 % (22.14 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	60 % (23.94 % lower 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	3.6 % (11.92 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	22.6 % (2.79 % lower than average)	vs	25.39 %
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	8.2 % (5.9 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	3.4 % (5.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	13.8 % (5.3 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	56.6 % (13.22 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	75.2 % (64.55 % higher than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	14.7:1 %
Percent of long-stay residents who have depressive symptoms	0.6 % (19.26 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	7.2 % (31.33 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	5.4 % (5.33 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	28.1 % (3.34 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	64.6 % (16.84 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	54.2 % (20.55 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	22.2:1 %