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INN AT FREEDOM VILLAGE, THE

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INN AT FREEDOM VILLAGE, THE VS
Nursing Homes USA
General
City Holland  0% Nursing Homes USA have Holland
State attribute explanation MI   2.8% Nursing Homes USA have MI
Street 145 COLUMBIA AVE  
Zip Code 49423  
Phone 6168207679  
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
39 
108.94
Total Number of Residents
30 
91.25
Percent of Occupied Beds
77 %
83.65 %
Health Survey Date 6/22/2012  
Fire Survey Date 6/21/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  5% Nursing Homes USA have Medicare
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 RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
30 
91.38
Number of RN Hours Per Resident Per Day
2.38 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.68 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
3.05 
1.59
Number of CNA Hours Per Resident Per Day
0.19 
5.49
Number Therapy Hours Per Resident Per Day
0.19 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 10/07/2010
date Of Correction: 10/26/2010 
Deficiency #2 Scope: Some
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: 10/07/2010
date Of Correction: 10/26/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
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: 07/14/2010
date Of Correction: 08/13/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/07/2010
date Of Correction: 10/26/2010 
Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/14/2010
date Of Correction: 08/13/2010 
Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/14/2010
date Of Correction: 08/13/2010 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 3
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/14/2010
date Of Correction: 08/13/2010 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
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
93.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.3 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.50 %
45.90 %
Quality Measures Q3
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of short-stay residents who self-report moderate to severe pain
21.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.1 %
17.34 %

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