| General |
| City |
| Saginaw |
Tawas City |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 3340 Hospital Rd |
400 W North St |
| Zip Code |
| 48,608 |
48,763 |
| Phone |
| 9,897,907,700 |
9,893,628,645 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 213 |
107 |
|
Total Number of Residents |
| 195 |
88 |
|
Percent of Occupied Beds |
| 92 % |
82 % |
| Health Survey Date |
| 6/8/2012 |
6/7/2012 |
| Fire Survey Date |
| 6/7/2012 |
6/7/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Other |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 6 |
75.2 |
| Total Enforcement Actions Count |
| 6 |
75.2 |
| # of deficiencies |
| 14 |
5 |
|
| Staff Information |
| Number of Residents |
| 195 |
88 |
| Number of RN Hours Per Resident Per Day |
| 0.67 |
0.63 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.05 |
1.08 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.71 |
1.7 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/07/2011date Of Correction: 01/09/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/20/2011date Of Correction: 07/21/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/17/2011date Of Correction: 06/30/2011 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 4deficiency: Keep All Essential Equipment Working Safely.survey Date: 12/09/2009date Of Correction: 01/18/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/09/2009date Of Correction: 01/18/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 04/29/2011date Of Correction: 06/01/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/14/2012date Of Correction: 03/13/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: 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: 12/09/2009date Of Correction: 01/18/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 02/14/2012date Of Correction: 03/13/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 11/10/2009date Of Correction: 12/01/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 07/25/2010date Of Correction: 08/31/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/14/2012date Of Correction: 03/13/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 12/09/2009date Of Correction: 01/18/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 01/24/2012date Of Correction: 02/14/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/29/2011date Of Correction: 06/01/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/25/2010date Of Correction: 08/31/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 11/12/2010date Of Correction: 12/13/2010 |
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/10/2009date Of Correction: 06/29/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.4 % |
10.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.4 % |
17.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.3 % |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
4.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 31.9 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.6 % |
2.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.4 % |
7.5 % |
| Percent of long-stay residents who were physically restrained |
| 6.3 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 34.6 % |
19.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.4 % |
93.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89.7 % |
95.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.9 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.5 % |
11.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.2 % |
18.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.3 % |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 7.9:1 |
5.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29.2 % |
40.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
6.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.3 % |
5.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.8 % |
6.4 % |
| Percent of long-stay residents who were physically restrained |
| 5.2 % |
1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.3 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 34 % |
20.2 (68.4) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.9 % |
87.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.5 % |
93.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.4-2413.6-24 |
0.6 % |