| General |
| City |
| Kalamazoo |
Flushing |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 3625 W Michigan Ave |
540 Sunnyside Dr |
| Zip Code |
| 49,006 |
48,433 |
| Phone |
| 2,693,754,550 |
8,106,595,695 |
|
Overall Star Rating |
| 1 |
2 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 172 |
116 |
|
Total Number of Residents |
| 105 |
116 |
|
Percent of Occupied Beds |
| 61 % |
100 % |
| Health Survey Date |
| 8/26/2011 |
8/19/2011 |
| Fire Survey Date |
| 8/25/2011 |
8/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
4 |
| Total Enforcement Actions Count |
| 3 |
4 |
| # of deficiencies |
| 16 |
21 |
|
| Staff Information |
| Number of Residents |
| 105 |
109 |
| Number of RN Hours Per Resident Per Day |
| 0.66 |
0.94 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.98 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.52 |
1.91 |
| Number of CNA Hours Per Resident Per Day |
| 0.12 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.12 |
0.11 |
| 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: 02/15/2012date Of Correction: 03/27/2012 |
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: 03/06/2012date Of Correction: 03/08/2012 |
| Deficiency #2 |
| 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: 08/02/2011date Of Correction: 08/03/2011 |
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: 11/03/2011date Of Correction: 11/21/2011 |
| Deficiency #3 |
| 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: 07/15/2009date Of Correction: 09/16/2009 |
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: 07/12/2011date Of Correction: 08/10/2011 |
| Deficiency #4 |
|
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: 04/23/2010date Of Correction: 05/25/2010 |
| Deficiency #5 |
|
Scope: Somelevel 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: 06/02/2009date Of Correction: 07/07/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 06/17/2011date Of Correction: 07/18/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/07/2011date Of Correction: 02/22/2011 |
| Deficiency #2 |
| 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: 07/15/2009date Of Correction: 09/16/2009 |
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: 06/02/2009date Of Correction: 07/07/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 07/15/2009date Of Correction: 09/16/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 07/15/2009date Of Correction: 09/16/2009 |
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: 05/22/2012date Of Correction: 06/12/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 07/15/2009date Of Correction: 09/16/2009 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/15/2011date Of Correction: 03/30/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 08/27/2010date Of Correction: 10/12/2010 |
| Deficiency #4 |
|
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: 03/26/2010date Of Correction: 05/04/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/02/2009date Of Correction: 07/07/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/01/2011date Of Correction: 12/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/24/2012date Of Correction: 05/12/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/02/2011date Of Correction: 08/03/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/15/2011date Of Correction: 03/30/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/15/2009date Of Correction: 09/16/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.survey Date: 02/15/2011date Of Correction: 03/30/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/20/2010date Of Correction: 08/18/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 02/01/2010date Of Correction: 03/03/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/01/2010date Of Correction: 03/03/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/17/2011date Of Correction: 07/18/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 01/07/2011date Of Correction: 02/22/2011 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 08/02/2011date Of Correction: 08/03/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Clinical Records For 1) The Length Of Time That Is Required By State Law; Or 2) Five Years From The Date Of Discharge When No Requirement In State Law.survey Date: 01/19/2010date Of Correction: 02/05/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| 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: 11/01/2011date Of Correction: 12/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 07/12/2011date Of Correction: 08/10/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/01/2011date Of Correction: 12/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 04/23/2010date Of Correction: 05/25/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.9:1 |
6.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.8:1 |
2.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 9.3 % |
12.8:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
6.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.3 % |
4.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.1 % |
5.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.6 % |
80.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87 % |
90.3 % |
| 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 |
| 1.3 % |
2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.3 % |
5.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.7 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.7 % |
0.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.3 % |
6.3 % |
| Percent of long-stay residents who lose too much weight |
| 9.9:1 |
10.1:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.2 % |
48.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
5 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.4 % |
2.6 / 3 |
| Percent of long-stay residents who have depressive symptoms |
| 0.4 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.8 % |
1.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.4 % |
6.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.6 % |
75.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.5 % |
83.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.7 % |
18.9 % |