| General |
| City |
| Hart |
Clare |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 701 E Main St |
600 Se 4th St |
| Zip Code |
| 49,420 |
48,617 |
| Phone |
| 2,318,736,600 |
9,893,867,723 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 130 |
123 |
|
Total Number of Residents |
| 109 |
80 |
|
Percent of Occupied Beds |
| 84 % |
65 % |
| Health Survey Date |
| 6/20/2012 |
3/9/2012 |
| Fire Survey Date |
| 6/19/2012 |
3/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Partially 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 |
| 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 |
7 |
| # of deficiencies |
| 4 |
12 |
|
| Staff Information |
| Number of Residents |
| 109 |
80 |
| Number of RN Hours Per Resident Per Day |
| 0.89 |
0.75 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.63 |
0.71 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.53 |
1.46 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.07 |
| 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: 11/29/2011date Of Correction: 12/13/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 07/13/2011date Of Correction: 08/12/2011 |
| Deficiency #3 |
|
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: 07/02/2010date Of Correction: 07/21/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 06/03/2010date Of Correction: 06/29/2010 |
| 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: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 02/07/2012date Of Correction: 02/29/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 12/06/2010date Of Correction: 12/28/2010 |
| Deficiency #3 |
|
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: 07/22/2010date Of Correction: 07/26/2010 |
| 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 |
|
| 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 |
|
| 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: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/18/2010date Of Correction: 06/29/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
| 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: 07/02/2010date Of Correction: 07/21/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 07/02/2010date Of Correction: 07/21/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.5 % |
18.2:1 |
| 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 % |
19.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.5 % |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
9.6 % |
| 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 |
| 5.6:1 |
7.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.7 % |
16.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 7.5 % |
6.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.5 % |
23 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.5 % |
89.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.9 % |
88.2 % |
| 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 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.4 % |
17.3:1 |
| 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 % |
15.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.3 % |
4.5 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
10.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50.9 % |
55 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.5 % |
5.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.3 % |
7.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 8.1 / 8.8 |
6.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
2.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.3:1 |
20 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.5 % |
83.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.9 % |
80 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16.2 % |
75.2 % |