| General |
| City |
| Coldwater |
Berrien Center |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 50 Sanderson Lane |
6418 Deans Hill Rd |
| Zip Code |
| 49,036 |
49,102 |
| Phone |
| 5,172,799,587 |
2,694,717,761 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 114 |
193 |
|
Total Number of Residents |
| 111 |
132 |
|
Percent of Occupied Beds |
| 97 % |
68 % |
| Health Survey Date |
| 1/6/2012 |
10/7/2011 |
| Fire Survey Date |
| 1/5/2012 |
10/11/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
Non Profit - Other |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
Yes |
| 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 |
3 |
| Total Enforcement Actions Count |
| 1 |
4 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 111 |
132 |
| Number of RN Hours Per Resident Per Day |
| 0.48 |
0.86 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.79 |
1.01 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.26 |
1.87 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.1 |
| 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: 03/28/2011date Of Correction: 04/25/2011 |
| 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: 03/08/2010date Of Correction: 04/19/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/28/2011date Of Correction: 04/25/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/28/2011date Of Correction: 04/25/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.1 % |
7.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.8 % |
9.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
10.6 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
10.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.1 % |
10.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.3 % |
6.3 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14 % |
14.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.3 % |
96.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
95.2 % |
| 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 % |
0.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.7 % |
10 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.5 % |
13.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.8 % |
13 % |
| Percent of long-stay residents who lose too much weight |
| 6.5 % |
14.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.1 % |
22.1 (71.8) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.1 % |
4.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.7 % |
12.4-2413.6-24 |
| Percent of long-stay residents who have depressive symptoms |
| 5.1 % |
5.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.7 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.7 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.8 % |
17.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.2 % |
95.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.7 % |
92.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.7 % |
20.1 % |