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THE CARRIAGE HOUSE OF BAY CITY

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THE CARRIAGE HOUSE OF BAY CITY VS
All other Nursing Homes USA
General
City BAY CITY   vs 0% Nursing Homes USA have BAY CITY
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 2394 MIDLAND RD  
Zip Code 48706  
Phone 9896842303  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
165  (56.06 higher than average)
vs
108.94

Total Number of Residents
133  (41.75 higher than average)
vs
91.25

Percent of Occupied Beds
81 % (2.65 % lower than average)
vs
83.65 %

Health Survey Date 4/13/2012  
Fire Survey Date 4/13/2012  
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
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 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
133  (41.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.7  (0.07 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.12  (0.28 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.82  (0.23 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 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: 08/02/2010
date Of Correction: 11/01/2010 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 12/28/2009
date Of Correction: 01/15/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/21/2011
date Of Correction: 11/01/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
7.1 % (17.99 % lower than average)
vs
25.09 %

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
8.8 % (7.86 % 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
1.8 % (10.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.4 % (0.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (10.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.9 % (1.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
14.4 % (13.98 % 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 10.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.8 % (11.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.2 % (15.26 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (43.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.5 % (12.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.9 % (18.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
8.3 % (5.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.5 % (6.72 % lower than average)
vs
9.22 %

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
41.1 % (2.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.5 % (0.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.2 % (10.66 % 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
3.8 % (6.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.7 % (8.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.7 % (15.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.7 % (24.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.2 % (3.14 % lower than average)
vs
17.34 %



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