| General |
| City |
| Hart |
Saginaw |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 701 E Main St |
3340 Hospital Rd |
| Zip Code |
| 49,420 |
48,608 |
| Phone |
| 2,318,736,600 |
9,897,907,700 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 130 |
213 |
|
Total Number of Residents |
| 109 |
195 |
|
Percent of Occupied Beds |
| 84 % |
92 % |
| Health Survey Date |
| 6/20/2012 |
6/8/2012 |
| Fire Survey Date |
| 6/19/2012 |
6/7/2012 |
| 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 |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
6 |
| Total Enforcement Actions Count |
| 2 |
6 |
| # of deficiencies |
| 4 |
14 |
|
| Staff Information |
| Number of Residents |
| 109 |
195 |
| Number of RN Hours Per Resident Per Day |
| 0.89 |
0.67 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.63 |
1.05 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.53 |
1.71 |
| 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: 12/07/2011date Of Correction: 01/09/2012 |
| 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: 07/20/2011date Of Correction: 07/21/2011 |
| Deficiency #3 |
|
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: 06/17/2011date Of Correction: 06/30/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 4deficiency: Keep All Essential Equipment Working Safely.survey Date: 12/09/2009date Of Correction: 01/18/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/09/2009date Of Correction: 01/18/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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: 01/20/2012 |
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: 04/29/2011date Of Correction: 06/01/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: 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: 12/09/2009date Of Correction: 01/18/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 09/27/2011date Of Correction: 09/28/2011 |
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: 07/25/2010date Of Correction: 08/31/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.survey Date: 07/15/2010date Of Correction: 08/06/2010 |
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: 12/09/2009date Of Correction: 01/18/2010 |
| 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: 05/19/2009date Of Correction: 07/01/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 01/24/2012date Of Correction: 02/14/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/29/2011date Of Correction: 06/01/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/25/2010date Of Correction: 08/31/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 11/12/2010date Of Correction: 12/13/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/10/2009date Of Correction: 06/29/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.5 % |
14.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.3 % |
8.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.5 % |
8.3 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 60.5 % |
31.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.6:1 |
2.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.7 % |
0.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
7.4 % |
| Percent of long-stay residents who were physically restrained |
| 7.5 % |
6.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
34.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.5 % |
92.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.9 % |
89.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.1 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.4 % |
14.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.1 % |
10.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.3 % |
9.3 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
7.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50.9 % |
29.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.5 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 8.3 % |
2.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.9 % |
7.8 % |
| Percent of long-stay residents who were physically restrained |
| 8.1 / 8.8 |
5.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.3:1 |
34 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.5 % |
88.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.9 % |
87.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16.2 % |
12.4-2413.6-24 |