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MARLETTE COMM HOSP LTCU VS ASPIRUS ONTONAGON HOSPITAL, INC

Overview:

There are 51 differences and 22 similarities between MARLETTE COMM HOSP LTCU, ASPIRUS ONTONAGON HOSPITAL, INC

General
City
Marlette Ontonagon
State attribute explanation
Mi Mi
Street
2,770 601 Seventh Street
Zip Code
48,453 49,953
Phone
9,896,354,000 9,068,848,000
Overall Star Rating
4
3
Health Inspections Star Rating
4
2
Nurse Staffing Star Rating
4
4
Quality Measures Star Rating
3
4
RN Only Star Rating
4
4
Number of Certified Beds
39
46
Total Number of Residents
39
42
Percent of Occupied Beds
100 %
91 %
Health Survey Date
1/27/2012 9/28/2011
Fire Survey Date
1/27/2012 9/29/2011
Sprinkler Status
Fully Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Corporation Non Profit - Corporation
Located Within a Hospital?
Yes 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
75.2
Total Enforcement Actions Count
1
75.2
# of deficiencies
11
Staff Information
Number of Residents
39
42
Number of RN Hours Per Resident Per Day
0.82
0.87
Number of LPN/LVN Hours Per Resident Per Day
0.51
0.38
Total Number of Licensed Staff Hours Per Resident Per Day
1.33
1.25
Number of CNA Hours Per Resident Per Day
75.2
0.25
Number Therapy Hours Per Resident Per Day
0.25
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: 04/24/2012date Of Correction: 06/01/2012
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: 08/04/2009date Of Correction: 09/04/2009
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: 08/12/2010date Of Correction: 09/30/2010
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: 08/12/2010date Of Correction: 09/30/2010
Deficiency #3
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 08/04/2009date Of Correction: 09/04/2009
Deficiency #4
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: 08/04/2009date Of Correction: 09/04/2009
Resident Rights Deficiencies
Deficiency #1
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: 08/04/2009date Of Correction: 09/04/2009
Quality Care Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/24/2012date Of Correction: 06/01/2012
Deficiency #2
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/04/2009date Of Correction: 09/04/2009
Deficiency #3
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/21/2009date Of Correction: 08/28/2009
Administration Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 08/04/2009date Of Correction: 09/04/2009
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
7.9:1
5.7 %
Percent of long-stay residents whose need for help with daily activities has increased
4.7 %
Percent of long-stay residents who self-report moderate to severe pain
3.1 %
Percent of long-stay high-risk residents with pressure ulcers
75.2 %
Percent of long-stay residents who lose too much weight
5.3 %
18.4 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.1 / 8.8
3.1 %
Percent of long-stay residents with a urinary tract infection
2.6 / 3
7.9:1
Percent of long-stay residents who have depressive symptoms
16.2 %
2.8 %
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
33.3 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96 %
Percent of short-stay residents who newly received an antipsychotic medication
1
Percent of long-stay residents experiencing one or more falls with major injury
5.3 %
75.2 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.2 %
10.2 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
2.8 %
Percent of long-stay residents who self-report moderate to severe pain
19.3 %
4.4 %
Percent of long-stay high-risk residents with pressure ulcers
4.3 %
8.4 %
Percent of long-stay residents who lose too much weight
7.1 %
13.9 / 15.3
Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 %
45.5 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.8 %
1.7 %
Percent of long-stay residents with a urinary tract infection
0.9 %
7 %
Percent of long-stay residents who have depressive symptoms
18.2:1
5.3 %
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
4.4 %
75.2 %
Percent of short-stay residents who self-report moderate to severe pain
43.5 %
26.6 (79.9)
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
28 %
95.6 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.2 %
20.2 (68.4)
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
7.1 %

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