| General |
| City |
| Frankfort |
Kalamazoo |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 210 Maple St |
2400 Portage St |
| Zip Code |
| 49,635 |
49,001 |
| Phone |
| 2,313,529,674 |
2,693,814,290 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 2 |
5 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 62 |
118 |
|
Total Number of Residents |
| 57 |
110 |
|
Percent of Occupied Beds |
| 92 % |
93 % |
| Health Survey Date |
| 5/19/2011 |
11/23/2011 |
| Fire Survey Date |
| 5/19/2011 |
11/23/2011 |
| 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 |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
Yes |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
3 |
| Total Enforcement Actions Count |
| 1 |
4 |
| # of deficiencies |
| 7 |
4 |
|
| Staff Information |
| Number of Residents |
| 57 |
110 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.94 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.48 |
0.83 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.53 |
1.77 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.11 |
| 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: 03/07/2012date Of Correction: 04/09/2012 |
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: 03/29/2011date Of Correction: 05/07/2011 |
| 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: 05/02/2012date Of Correction: 06/19/2012 |
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: 03/29/2011date Of Correction: 05/07/2011 |
| 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: 05/02/2012date Of Correction: 06/19/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 02/17/2011date Of Correction: 03/29/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/22/2011date Of Correction: 06/27/2011 |
|
| Deficiency #4 |
| 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: 06/22/2011date Of Correction: 06/27/2011 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 06/22/2011date Of Correction: 06/27/2011 |
|
| 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: 08/14/2009date Of Correction: 10/03/2009 |
| 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: 03/07/2012date Of Correction: 04/09/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.8:1 |
4.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 27.8 (82.0) |
9.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
8.6:1 |
| Percent of long-stay residents who lose too much weight |
| 6 % |
2.20 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
60.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.5 % |
3.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 4 % |
4.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.1 % |
3.3 % |
| Percent of long-stay residents who were physically restrained |
| 3.8 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.6 % |
25.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.9 % |
88.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.8 % |
85.2 % |
| 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 |
| 1.9 % |
1.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
6.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.7 % |
12.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.5 % |
8 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
9.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.6 % |
61.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.5 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.2 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.1 % |
5.4 % |
| Percent of long-stay residents who were physically restrained |
| 4.3 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 39 % |
21.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.7 % |
89.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.7 % |
87.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.3:1 |
75.2 % |