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THE LODGE AT MAPLECREEK

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THE LODGE AT MAPLECREEK VS
All other Nursing Homes USA
General
City GRAND RAPIDS   vs 0.1% Nursing Homes USA have GRAND RAPIDS
State attribute explanation MI   vs 2.8% Nursing Homes USA have MI
Street 1950 32ND ST S E  
Zip Code 49508  
Phone 6164525900  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
125  (16.06 higher than average)
vs
108.94

Total Number of Residents
116  (24.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 12/21/2011  
Fire Survey Date 12/21/2011  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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? 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
(51.16 lower than average)
vs
58.16

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

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

Staff Information
Number of Residents
116  (24.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.65  (0.19 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.17  (0.42 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 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: 07/13/2011
date Of Correction: 07/14/2011 

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

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: 05/03/2011
date Of Correction: 06/03/2011 

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: 11/15/2010
date Of Correction: 12/03/2010 

Deficiency #5 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: 09/16/2010
date Of Correction: 10/08/2010 

Deficiency #6 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: 02/11/2010
date Of Correction: 02/12/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/04/2011
date Of Correction: 10/21/2011 

Deficiency #2 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: 11/17/2010
date Of Correction: 12/03/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/27/2010
date Of Correction: 12/03/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/04/2011
date Of Correction: 10/21/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/27/2010
date Of Correction: 12/03/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/27/2010
date Of Correction: 12/03/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/11/2010
date Of Correction: 02/12/2010 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 02/11/2010
date Of Correction: 02/12/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 09/16/2010
date Of Correction: 10/08/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 09/16/2010
date Of Correction: 10/08/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 10/27/2010
date Of Correction: 12/03/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.9 % (5.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (31.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.2 % (15.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12.2 % (0.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
61.9 % (17.36 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 % (13.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.2 % (5.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
7.1 % (21.28 % 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
5.1 % (19.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.9 % (8.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.6 % (10.66 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.6 % (44.3 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.7 % (4.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.7 % (11.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.7 % (7.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.3 % (2.8 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
58 % (14.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 % (7.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8 % (1.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5 % (14.86 % 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 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
11 % (13.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.2 % (9.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82.4 % (7.65 % 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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