| General |
| City |
| Redford |
Traverse City |
| State attribute explanation |
| Mi |
Mi |
| Street |
| 25330 West Six Mile Road |
2585 S Lafranier Rd |
| Zip Code |
| 48,240 |
49,684 |
| Phone |
| 3,135,316,874 |
2,319,479,511 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
|
4 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
|
4 |
|
Number of Certified Beds |
| 88 |
94 |
|
Total Number of Residents |
| 77 |
74 |
|
Percent of Occupied Beds |
| 88 % |
79 % |
| Health Survey Date |
| 10/13/2011 |
8/25/2011 |
| Fire Survey Date |
| 10/14/2011 |
8/29/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
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 |
| 1 |
20 |
|
| Staff Information |
| Number of Residents |
| 79 |
74 |
| Number of RN Hours Per Resident Per Day |
|
0.85 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.56 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
1.4 |
| Number of CNA Hours Per Resident Per Day |
|
0.08 |
| Number Therapy Hours Per Resident Per Day |
|
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel 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: 12/15/2011date Of Correction: 12/28/2011 |
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: 06/07/2012date Of Correction: 07/10/2012 |
| 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: 06/09/2011date Of Correction: 07/05/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/28/2011date Of Correction: 05/31/2011 |
| Deficiency #4 |
|
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: 07/14/2009date Of Correction: 08/18/2009 |
| 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: 02/28/2012date Of Correction: 03/29/2012 |
| 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: 02/28/2012date Of Correction: 03/29/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/14/2009date Of Correction: 08/18/2009 |
| 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: 07/14/2009date Of Correction: 08/18/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/10/2009date Of Correction: 07/01/2009 |
| Deficiency #6 |
|
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: 06/10/2009date Of Correction: 07/01/2009 |
| 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: 02/28/2012date Of Correction: 03/29/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 10/26/2011date Of Correction: 11/29/2011 |
| 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: 05/18/2011date Of Correction: 06/15/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/28/2011date Of Correction: 05/31/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.survey Date: 11/05/2010date Of Correction: 12/22/2010 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 07/14/2009date Of Correction: 08/18/2009 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 07/14/2009date Of Correction: 08/18/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 06/09/2011date Of Correction: 07/05/2011 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 07/14/2009date Of Correction: 08/18/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
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: 09/29/2009date Of Correction: 11/13/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 2.9 % |
13.6-28 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
13.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 11.4 % |
9.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
51.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
7.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 20 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.4 % |
4.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 4.9 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 61.6 % |
86.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 71.4 % |
81.1 % |
| 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 |
| 75.2 % |
6.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 3.4 % |
13 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.2 % |
11.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 10.9 % |
8.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 16.7 % |
52.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.4 % |
6.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 17.8:1 |
2.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.5 - 2.0 |
5.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.5 - 2.0 |
4.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 4.9 % |
10.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 61.5 % |
77.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.5 % |
64.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
10.3:1 |