| General |
| City |
| Tawas City |
Ludington |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 1201 Harris Ave |
1000 Diana St |
| Zip Code |
| 48,763 |
49,431 |
| Phone |
| 9,893,624,424 |
2,318,455,185 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 78 |
96 |
|
Total Number of Residents |
| 69 |
94 |
|
Percent of Occupied Beds |
| 88 % |
98 % |
| Health Survey Date |
| 9/29/2011 |
2/3/2012 |
| Fire Survey Date |
| 9/28/2011 |
2/3/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
Government - County |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
| 2 |
2 |
| Total Enforcement Actions Count |
| 2 |
2 |
| # of deficiencies |
| 9 |
1 |
|
| Staff Information |
| Number of Residents |
| 69 |
94 |
| Number of RN Hours Per Resident Per Day |
| 0.54 |
1.3 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.83 |
0.38 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.37 |
1.68 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 08/04/2011date Of Correction: 08/22/2011 |
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: 08/18/2011date Of Correction: 09/12/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/15/2009date Of Correction: 05/08/2009 |
|
| 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: 04/15/2009date Of Correction: 05/08/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/21/2011date Of Correction: 07/29/2011 |
|
| 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: 02/24/2011date Of Correction: 04/01/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 02/24/2011date Of Correction: 04/01/2011 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 05/19/2010date Of Correction: 06/25/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/28/2011date Of Correction: 02/03/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/28/2011date Of Correction: 02/03/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.4 % |
7.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
9.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.9:1 |
4.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
42.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.5 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.5 % |
10.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.6 % |
19.1:1 |
| Percent of long-stay residents who were physically restrained |
| 6.3 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 53.6 % |
46.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.9 % |
94.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.8 % |
4.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.1 % |
7.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.6 % |
12.8:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.2 % |
2.6 / 3 |
| Percent of long-stay residents who lose too much weight |
| 9.4 / 10.4 |
4.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
36.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
1 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.5 % |
9.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.2 % |
14.7:1 |
| Percent of long-stay residents who were physically restrained |
| 5.7 % |
1.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
4.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 37.6 % |
35.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.8 % |
97.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.1 % |
90.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.2:1 |
75.2 % |