| General |
| City |
| Muskegon |
Marlette |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 1061 W Hackley Ave |
2,770 |
| Zip Code |
| 49,441 |
48,453 |
| Phone |
| 2,317,552,255 |
9,896,354,000 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 107 |
39 |
|
Total Number of Residents |
| 99 |
39 |
|
Percent of Occupied Beds |
| 93 % |
100 % |
| Health Survey Date |
| 2/10/2012 |
1/27/2012 |
| Fire Survey Date |
| 2/14/2012 |
1/27/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 10 |
|
|
| Staff Information |
| Number of Residents |
| 99 |
39 |
| Number of RN Hours Per Resident Per Day |
| 1 |
0.82 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.51 |
0.51 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.51 |
1.33 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
|
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 04/25/2012date Of Correction: 05/31/2012 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/01/2010date Of Correction: 11/03/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 10/01/2010date Of Correction: 11/03/2010 |
|
| Deficiency #4 |
| 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: 08/03/2009date Of Correction: 09/16/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 10/01/2010date Of Correction: 11/03/2010 |
|
| 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: 10/01/2010date Of Correction: 11/03/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/06/2010date Of Correction: 08/20/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/06/2010date Of Correction: 05/12/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Manylevel 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: 04/25/2012date Of Correction: 05/31/2012 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/25/2012date Of Correction: 05/31/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.1 % |
7.9:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.3 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
|
| Percent of long-stay residents who lose too much weight |
| 7.6 % |
5.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
8.1 / 8.8 |
| Percent of long-stay residents with a urinary tract infection |
| 3 % |
2.6 / 3 |
| Percent of long-stay residents who have depressive symptoms |
| 13.6-28 |
16.2 % |
| 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 |
| 15.3 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.8 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.3 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
5.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.2 % |
6.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.6:1 |
19.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
4.3 % |
| Percent of long-stay residents who lose too much weight |
| 12.3:1 |
7.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 60 % |
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
6.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
0.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 18 % |
18.2:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
4.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.6 % |
43.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.8 % |
28 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89.9 % |
85.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 0.5 - 2.0 |
75.2 % |