| General |
| City |
| Frankfort |
Traverse City |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 210 Maple St |
2950 Lafranier Rd |
| Zip Code |
| 49,635 |
49,686 |
| Phone |
| 2,313,529,674 |
2,319,470,506 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 62 |
125 |
|
Total Number of Residents |
| 57 |
105 |
|
Percent of Occupied Beds |
| 92 % |
84 % |
| Health Survey Date |
| 5/19/2011 |
5/24/2012 |
| Fire Survey Date |
| 5/19/2011 |
5/24/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| 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 |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 7 |
8 |
|
| Staff Information |
| Number of Residents |
| 57 |
105 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.95 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.48 |
0.42 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.53 |
1.37 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.13 |
| 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: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/22/2012date Of Correction: 03/26/2012 |
| 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: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/29/2011date Of Correction: 04/26/2011 |
| 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: 03/29/2011date Of Correction: 04/26/2011 |
| 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 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 05/24/2012date Of Correction: 06/28/2012 |
| 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: 12/08/2011date Of Correction: 12/27/2011 |
| 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: 03/29/2011date Of Correction: 04/26/2011 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 04/30/2009date Of Correction: 05/26/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 05/24/2012date Of Correction: 06/28/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.8:1 |
15.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.1 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 27.8 (82.0) |
25.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
9.4 / 10.4 |
| Percent of long-stay residents who lose too much weight |
| 6 % |
13.9 / 15.3 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.5 % |
14.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 4 % |
1.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.1 % |
6.3 % |
| Percent of long-stay residents who were physically restrained |
| 3.8 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.6 % |
47 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.8 % |
100 % |
| 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 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
14.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.7 % |
30.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.5 % |
9.9:1 |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
12.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.6 % |
52.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.5 % |
11.2-20 |
| Percent of long-stay residents with a urinary tract infection |
| 9.2 % |
1.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.1 % |
7 % |
| Percent of long-stay residents who were physically restrained |
| 4.3 % |
2.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 39 % |
47.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.7 % |
99.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.7 % |
99.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.3:1 |
13.5 % |