| General |
| City |
| Coldwater |
Hancock |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 50 Sanderson Lane |
1100 Quincy St |
| Zip Code |
| 49,036 |
49,930 |
| Phone |
| 5,172,799,587 |
9,064,825,050 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 114 |
197 / 253 |
|
Total Number of Residents |
| 111 |
184 |
|
Percent of Occupied Beds |
| 97 % |
93 % |
| Health Survey Date |
| 1/6/2012 |
7/28/2011 |
| Fire Survey Date |
| 1/5/2012 |
7/28/2011 |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
|
25 |
|
| Staff Information |
| Number of Residents |
| 111 |
184 |
| Number of RN Hours Per Resident Per Day |
| 0.48 |
0.8 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.79 |
0.3 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.26 |
1.11 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.03 |
| 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: 10/20/2011date Of Correction: 11/25/2011 |
| Deficiency #2 |
|
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: 05/20/2010date Of Correction: 07/09/2010 |
| Deficiency #3 |
|
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: 11/19/2009date Of Correction: 01/08/2010 |
| 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: 05/01/2012date Of Correction: 05/25/2012 |
| 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: 05/01/2012date Of Correction: 05/25/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/01/2012date Of Correction: 05/25/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/25/2012date Of Correction: 02/17/2012 |
| Deficiency #5 |
|
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: 01/25/2012date Of Correction: 02/17/2012 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 01/19/2012date Of Correction: 02/17/2012 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/19/2009date Of Correction: 01/08/2010 |
| Deficiency #8 |
|
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: 11/19/2009date Of Correction: 01/08/2010 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 11/19/2009date Of Correction: 01/08/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 01/19/2012date Of Correction: 02/17/2012 |
| 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: 10/20/2011date Of Correction: 11/25/2011 |
| Deficiency #3 |
|
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: 10/27/2010date Of Correction: 12/03/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 05/20/2010date Of Correction: 07/09/2010 |
| 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: 05/20/2010date Of Correction: 07/09/2010 |
| Deficiency #6 |
|
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: 07/16/2009date Of Correction: 08/28/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/15/2012date Of Correction: 02/18/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 02/15/2012date Of Correction: 02/18/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/15/2012date Of Correction: 02/18/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 07/28/2011date Of Correction: 09/05/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.1 % |
17 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
1.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.8 % |
20 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
7.5 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
7.1 % |
| 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 |
| 75.2 % |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.1 % |
8.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.3 % |
1.6 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
6.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14 % |
45.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.3 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
95.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
3.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.7 % |
17.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.5 % |
17.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.8 % |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 6.5 % |
7.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
43.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.1 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 2.7 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.1 % |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.7 % |
5.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.7 % |
4.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.8 % |
26.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.2 % |
94 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.7 % |
88.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.7 % |
13.1:1 |