General |
City |
Muskegon |
Clare |
State attribute explanation |
Mi |
Mi |
Street |
1061 W Hackley Ave |
600 Se 4th St |
Zip Code |
49,441 |
48,617 |
Phone |
2,317,552,255 |
9,893,867,723 |
Overall Star Rating |
4 |
4 |
Health Inspections Star Rating |
3 |
3 |
Nurse Staffing Star Rating |
2 |
4 |
Quality Measures Star Rating |
5 |
3 |
RN Only Star Rating |
4 |
4 |
Number of Certified Beds |
107 |
123 |
Total Number of Residents |
99 |
80 |
Percent of Occupied Beds |
93 % |
65 % |
Health Survey Date |
2/10/2012 |
3/9/2012 |
Fire Survey Date |
2/14/2012 |
3/9/2012 |
Sprinkler Status |
Fully Sprinklered |
Partially 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 |
Both |
Resident |
Continuing Care Retirement Community? |
No |
No |
Quality Indicator Survey? |
No |
No |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
1 |
6 |
Total Enforcement Actions Count |
1 |
7 |
# of deficiencies |
10 |
12 |
|
Staff Information |
Number of Residents |
99 |
80 |
Number of RN Hours Per Resident Per Day |
1 |
0.75 |
Number of LPN/LVN Hours Per Resident Per Day |
0.51 |
0.71 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.51 |
1.46 |
Number of CNA Hours Per Resident Per Day |
0.11 |
0.07 |
Number Therapy Hours Per Resident Per Day |
0.11 |
0.07 |
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 |
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: 11/29/2011date Of Correction: 12/13/2011 |
Deficiency #2 |
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/01/2010date Of Correction: 11/03/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 07/13/2011date Of Correction: 08/12/2011 |
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 |
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: 07/02/2010date Of Correction: 07/21/2010 |
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 |
Scope: Fewlevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 06/03/2010date Of Correction: 06/29/2010 |
Mistreatment Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 02/07/2012date Of Correction: 02/29/2012 |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 12/06/2010date Of Correction: 12/28/2010 |
Deficiency #3 |
|
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: 07/22/2010date Of Correction: 07/26/2010 |
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 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/18/2010date Of Correction: 06/29/2010 |
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 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
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 |
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: 07/02/2010date Of Correction: 07/21/2010 |
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 |
Scope: Somelevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 07/02/2010date Of Correction: 07/21/2010 |
Pharmacy Service Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
11.1 % |
18.2:1 |
Percent of long-stay residents whose need for help with daily activities has increased |
1 % |
1.4 % |
Percent of long-stay residents who self-report moderate to severe pain |
3.3 % |
19.3 % |
Percent of long-stay high-risk residents with pressure ulcers |
6.7 % |
5.1 % |
Percent of long-stay residents who lose too much weight |
7.6 % |
9.6 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.9 % |
7.8 % |
Percent of long-stay residents with a urinary tract infection |
3 % |
16.2 % |
Percent of long-stay residents who have depressive symptoms |
13.6-28 |
75.2 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
6.8 % |
Percent of short-stay residents who self-report moderate to severe pain |
15.3 % |
23 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
95.8 % |
89.5 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.3 % |
88.2 % |
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 |
75.2 % |
2.7 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
10.2 % |
17.3:1 |
Percent of long-stay residents whose need for help with daily activities has increased |
1 % |
1.4 % |
Percent of long-stay residents who self-report moderate to severe pain |
5.6:1 |
15.4 % |
Percent of long-stay high-risk residents with pressure ulcers |
8.2 % |
4.5 % |
Percent of long-stay residents who lose too much weight |
12.3:1 |
10.6 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
60 % |
55 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.7 % |
5.5 % |
Percent of long-stay residents with a urinary tract infection |
3.3 % |
7.8 % |
Percent of long-stay residents who have depressive symptoms |
18 % |
75.2 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
6.8 % |
Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % |
2.3 % |
Percent of short-stay residents who self-report moderate to severe pain |
16.6 % |
20 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.8 % |
83.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
89.9 % |
80 % |
Percent of short-stay residents who newly received an antipsychotic medication |
0.5 - 2.0 |
75.2 % |