General |
City |
Gaylord |
Hancock |
State attribute explanation |
Mi |
Mi |
Street |
825 N Center St |
1100 Quincy St |
Zip Code |
49,735 |
49,930 |
Phone |
9,897,312,131 |
9,064,825,050 |
Overall Star Rating |
5 |
2 |
Health Inspections Star Rating |
4 |
1 |
Nurse Staffing Star Rating |
5 |
5 |
Quality Measures Star Rating |
2 |
3 |
RN Only Star Rating |
5 |
5 |
Number of Certified Beds |
34 |
197 / 253 |
Total Number of Residents |
28 |
184 |
Percent of Occupied Beds |
82 % |
93 % |
Health Survey Date |
9/15/2011 |
7/28/2011 |
Fire Survey Date |
9/19/2011 |
7/28/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
Non Profit - Corporation |
Government - County |
Located Within a Hospital? |
Yes |
No |
Multi Nursing Home Ownership? |
No |
No |
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 |
75.2 |
75.2 |
# of deficiencies |
2 |
25 |
|
Staff Information |
Number of Residents |
28 |
184 |
Number of RN Hours Per Resident Per Day |
1.59 |
0.8 |
Number of LPN/LVN Hours Per Resident Per Day |
0.84 |
0.3 |
Total Number of Licensed Staff Hours Per Resident Per Day |
2.43 |
1.11 |
Number of CNA Hours Per Resident Per Day |
0.61 |
0.03 |
Number Therapy Hours Per Resident Per Day |
0.61 |
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: 10/20/2011date Of Correction: 11/25/2011 |
Deficiency #2 |
|
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: 05/20/2010date Of Correction: 07/09/2010 |
Deficiency #3 |
|
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: 11/19/2009date Of Correction: 01/08/2010 |
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: 04/12/2012date Of Correction: 05/11/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/01/2012date Of Correction: 05/25/2012 |
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: 04/12/2012date Of Correction: 05/11/2012 |
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: 05/01/2012date Of Correction: 05/25/2012 |
Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 05/01/2012date Of Correction: 05/25/2012 |
Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/25/2012date Of Correction: 02/17/2012 |
Deficiency #5 |
|
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: 01/25/2012date Of Correction: 02/17/2012 |
Deficiency #6 |
|
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: 02/17/2012 |
Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/19/2009date Of Correction: 01/08/2010 |
Deficiency #8 |
|
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: 11/19/2009date Of Correction: 01/08/2010 |
Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 11/19/2009date Of Correction: 01/08/2010 |
Resident Rights Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 01/19/2012date Of Correction: 02/17/2012 |
Deficiency #2 |
|
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: 10/20/2011date Of Correction: 11/25/2011 |
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: 10/27/2010date Of Correction: 12/03/2010 |
Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 05/20/2010date Of Correction: 07/09/2010 |
Deficiency #5 |
|
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: 05/20/2010date Of Correction: 07/09/2010 |
Deficiency #6 |
|
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: 07/16/2009date Of Correction: 08/28/2009 |
Quality Care Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/15/2012date Of Correction: 02/18/2012 |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 02/15/2012date Of Correction: 02/18/2012 |
Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/15/2012date Of Correction: 02/18/2012 |
Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 07/28/2011date Of Correction: 09/05/2011 |
Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
Administration Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 01/27/2010date Of Correction: 03/12/2010 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
|
17 % |
Percent of long-stay residents whose need for help with daily activities has increased |
1.9 % |
1.7 % |
Percent of long-stay residents who self-report moderate to severe pain |
|
20 % |
Percent of long-stay high-risk residents with pressure ulcers |
|
7.5 % |
Percent of long-stay residents who lose too much weight |
|
7.1 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
42.9 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
2.4 % |
Percent of long-stay residents with a urinary tract infection |
|
8.2 % |
Percent of long-stay residents who have depressive symptoms |
|
1.6 % |
Percent of long-stay residents who were physically restrained |
|
6.6 % |
Percent of short-stay residents who self-report moderate to severe pain |
48.7 % |
45.5 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
97.6 % |
95.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
100 % |
95.7 % |
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 |
|
3.8 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
6.8 % |
17.7 % |
Percent of long-stay residents whose need for help with daily activities has increased |
4.3 % |
0.5 - 2.0 |
Percent of long-stay residents who self-report moderate to severe pain |
16 % |
17.7 % |
Percent of long-stay high-risk residents with pressure ulcers |
2.20 % |
7.7 % |
Percent of long-stay residents who lose too much weight |
11 % |
7.9:1 |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
43.7 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.2 % |
2.6 / 3 |
Percent of long-stay residents with a urinary tract infection |
5.5 % |
5.7 % |
Percent of long-stay residents who have depressive symptoms |
20.3 % |
2.4 % |
Percent of long-stay residents who were physically restrained |
2.7 % |
5.1 % |
Percent of long-stay residents experiencing one or more falls with major injury |
4.1 % |
4.9 % |
Percent of short-stay residents who self-report moderate to severe pain |
38.3 % |
26.2 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
95.5 % |
94 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
96.2 % |
88.7 % |
Percent of short-stay residents who newly received an antipsychotic medication |
14.1 % |
13.1:1 |