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ARBORS AT MICHIGAN CITY

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ARBORS AT MICHIGAN CITY VS
Nursing Homes USA
General
City MICHIGAN CITY   0% Nursing Homes USA have MICHIGAN CITY
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 1101 E COOLSPRING AVE  
Zip Code 46360  
Phone 2198745211  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
180 
108.94
Total Number of Residents
148 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 7/18/2011  
Fire Survey Date 7/25/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
26 
7.48
Staff Information
Number of Residents
148 
91.38
Number of RN Hours Per Resident Per Day
0.51 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.71 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.21 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/18/2011
date Of Correction: 08/17/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/06/2009
date Of Correction: 12/30/2009 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/02/2009
date Of Correction: 12/30/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/14/2009
date Of Correction: 06/11/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/06/2012
date Of Correction: 07/06/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 06/06/2012
date Of Correction: 07/06/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/28/2012
date Of Correction: 03/23/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: 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: 02/28/2012
date Of Correction: 03/23/2012 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/15/2010
date Of Correction: 11/10/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: 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: 09/15/2010
date Of Correction: 11/10/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 02/28/2012
date Of Correction: 03/23/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 07/18/2011
date Of Correction: 08/17/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 07/18/2011
date Of Correction: 08/17/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 07/18/2011
date Of Correction: 08/17/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/10/2010
date Of Correction: 11/30/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/15/2010
date Of Correction: 11/10/2010 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/15/2010
date Of Correction: 11/30/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 11/06/2009
date Of Correction: 12/30/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 10/02/2009
date Of Correction: 11/06/2009 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 10/02/2009
date Of Correction: 11/06/2009 
Deficiency #9 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/02/2009
date Of Correction: 11/06/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 11/06/2009
date Of Correction: 12/30/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 10/02/2009
date Of Correction: 11/06/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 10/02/2009
date Of Correction: 12/30/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/05/2010
date Of Correction: 06/04/2010 
Building Service Equipment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Restrictions On The Use Of Portable Space Heaters.
survey Date: 10/13/2009
date Of Correction: 11/05/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
8.2 %
12.58 %
Percent of long-stay residents who lose too much weight
10.6 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
65 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
0.9 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
24.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
81.9 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.3 %
9.22 %
Percent of long-stay residents who lose too much weight
11.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection
2.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.6 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
25.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
73.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
21.8 %
17.34 %

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