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HOLLY CONVALESCENT CENTER

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HOLLY CONVALESCENT CENTER VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City HOLLY   0% Nursing Homes USA have HOLLY
State attribute explanation MI   2.8% Nursing Homes USA have MI
Street 313 SHERWOOD ST  
Zip Code 48442  
Phone 2486349281  
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
66 
108.94
Total Number of Residents
65 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 1/6/2012  
Fire Survey Date 1/9/2012  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicaid  3.5% Nursing Homes USA have 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? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
11 
7.48
Staff Information
Number of Residents
65 
91.38
Number of RN Hours Per Resident Per Day
0.57 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.35 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
0.92 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 10/14/2010
date Of Correction: 10/22/2010 
Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/09/2010
date Of Correction: 08/15/2010 
Deficiency #3 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: 02/11/2010
date Of Correction: 03/15/2010 
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: 09/16/2009
date Of Correction: 10/26/2009 
Mistreatment Deficiencies
Deficiency #1 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: 03/29/2011
date Of Correction: 04/25/2011 
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: 08/09/2010
date Of Correction: 08/15/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 09/16/2009
date Of Correction: 10/26/2009 
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: 05/06/2009
date Of Correction: 06/24/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 10/14/2010
date Of Correction: 10/22/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 09/16/2009
date Of Correction: 10/26/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 08/09/2010
date Of Correction: 08/15/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
40.4 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
18.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.7 %
12.58 %
Percent of long-stay residents who lose too much weight
6.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
4.9 %
28.38 %
Percent of long-stay residents who were physically restrained
27.7 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury
9.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.7 %
25.39 %
Percent of long-stay residents who self-report moderate to severe pain
15.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
2 %
9.22 %
Percent of long-stay residents who lose too much weight
6.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
70.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.4 %
19.86 %
Percent of long-stay residents who were physically restrained
27.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
11.4 %
10.73 %

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