| General |
| City |
| Manistee |
Saint Joseph |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 1505 E Parkdale Avenue |
3425 Lake Shore Dr |
| Zip Code |
| 49,660 |
49,085 |
| Phone |
| 2,317,232,543 |
2,699,836,501 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 122 |
111 |
|
Total Number of Residents |
| 118 |
82 |
|
Percent of Occupied Beds |
| 97 % |
74 % |
| Health Survey Date |
| 11/3/2011 |
3/9/2012 |
| Fire Survey Date |
| 11/3/2011 |
3/12/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
2 |
| Total Enforcement Actions Count |
| 1 |
2 |
| # of deficiencies |
| 7 |
10 |
|
| Staff Information |
| Number of Residents |
| 118 |
82 |
| Number of RN Hours Per Resident Per Day |
| 1.01 |
1.23 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
0.4 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.46 |
1.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
|
| 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: 03/27/2012date Of Correction: 05/05/2012 |
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: 10/16/2009date Of Correction: 11/13/2009 |
| 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: 05/04/2011date Of Correction: 06/06/2011 |
|
| 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: 03/27/2012date Of Correction: 05/05/2012 |
Scope: Fewlevel Of Harm: 3deficiency: 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: 03/16/2011date Of Correction: 04/11/2011 |
| 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: 03/27/2012date Of Correction: 05/05/2012 |
Scope: Somelevel 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: 10/16/2009date Of Correction: 11/13/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 10/20/2010date Of Correction: 11/19/2010 |
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: 03/16/2011date Of Correction: 04/11/2011 |
| Deficiency #2 |
|
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: 10/16/2009date Of Correction: 11/13/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.survey Date: 10/16/2009date Of Correction: 11/13/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 07/14/2009date Of Correction: 08/07/2009 |
| Deficiency #5 |
|
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: 07/14/2009date Of Correction: 08/07/2009 |
| 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: 10/16/2009date Of Correction: 11/13/2009 |
| 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: 03/27/2012date Of Correction: 05/05/2012 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 07/14/2009date Of Correction: 08/07/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 07/15/2011date Of Correction: 07/29/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.8 % |
11.4 % |
| 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 |
| 15.6 % |
15 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.5 % |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 2.9 % |
2.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 36.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
5.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
2.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.9 % |
22 % |
| 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 |
| 22.1 (71.8) |
17.1:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.7 % |
97.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.5 % |
93.2 % |
| 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 |
| 3.9 % |
1.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.1:1 |
11.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.6 / 3 |
2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12 % |
13.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.6 % |
3.7 % |
| Percent of long-stay residents who lose too much weight |
| 6.8 % |
4.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.3 % |
27.8 (82.0) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.1 % |
9 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.8 % |
3.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
22.4:1 |
| 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 |
| 3.3 % |
1.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26 % |
22 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.4 % |
94.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.7 % |
92.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.8 % |
8.9 / 9.9 |