| General |
| City |
| Clare |
Tawas City |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 600 Se 4th St |
400 W North St |
| Zip Code |
| 48,617 |
48,763 |
| Phone |
| 9,893,867,723 |
9,893,628,645 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 123 |
107 |
|
Total Number of Residents |
| 80 |
88 |
|
Percent of Occupied Beds |
| 65 % |
82 % |
| Health Survey Date |
| 3/9/2012 |
6/7/2012 |
| Fire Survey Date |
| 3/9/2012 |
6/7/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 6 |
75.2 |
| Total Enforcement Actions Count |
| 7 |
75.2 |
| # of deficiencies |
| 12 |
5 |
|
| Staff Information |
| Number of Residents |
| 80 |
88 |
| Number of RN Hours Per Resident Per Day |
| 0.75 |
0.63 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
1.08 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.46 |
1.7 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
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: 02/07/2012date Of Correction: 02/29/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/14/2012date Of Correction: 03/13/2012 |
| 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 |
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: 02/14/2012date Of Correction: 03/13/2012 |
| 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 |
Scope: Somelevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 11/10/2009date Of Correction: 12/01/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 02/14/2012date Of Correction: 03/13/2012 |
| 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 |
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.2:1 |
10.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.3 % |
17.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.1 % |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 9.6 % |
4.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.8 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 16.2 % |
2.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
7.5 % |
| Percent of long-stay residents who were physically restrained |
| 6.8 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23 % |
19.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.5 % |
93.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.2 % |
95.4 % |
| 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 |
| 2.7 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.3:1 |
11.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.4 % |
18.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.5 % |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
5.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55 % |
40.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.5 % |
6.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.8 % |
5.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
6.4 % |
| Percent of long-stay residents who were physically restrained |
| 6.8 % |
1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.3 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
20.2 (68.4) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.7 % |
87.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 80 % |
93.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
0.6 % |