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MICHIANA HEALTH AND REHABILITATION CENTER

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MICHIANA HEALTH AND REHABILITATION CENTER VS
Nursing Homes USA
General
City MISHAWAKA   0% Nursing Homes USA have MISHAWAKA
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 1420 E DOUGLAS RD  
Zip Code 46545  
Phone 5743077200  
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
100 
108.94
Total Number of Residents
73 
91.25
Percent of Occupied Beds
73 %
83.65 %
Health Survey Date 12/12/2011  
Fire Survey Date 1/11/2012  
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 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
13 
7.48
Staff Information
Number of Residents
73 
91.38
Number of RN Hours Per Resident Per Day
1.23 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.19 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.42 
1.59
Number of CNA Hours Per Resident Per Day
0.27 
5.49
Number Therapy Hours Per Resident Per Day
0.27 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/30/2012
date Of Correction: 06/21/2012 
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: 05/30/2012
date Of Correction: 06/21/2012 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 06/08/2011
date Of Correction: 07/01/2011 
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: 05/30/2012
date Of Correction: 06/21/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 02/23/2012
date Of Correction: 02/27/2012 
Deficiency #3 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: 06/08/2011
date Of Correction: 07/01/2011 
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: 05/30/2012
date Of Correction: 06/21/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/30/2012
date Of Correction: 06/21/2012 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/24/2011
date Of Correction: 09/14/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 06/08/2011
date Of Correction: 07/01/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.
survey Date: 04/16/2012
date Of Correction: 05/04/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 04/27/2011
date Of Correction: 05/20/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/30/2012
date Of Correction: 06/21/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
4.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
75.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 14.7:1 % 
Percent of long-stay residents who lose too much weight
2.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection 11.6:1 % 
Percent of long-stay residents who have depressive symptoms
9.8 %
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
13.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
87.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.3 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
9.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8.7 %
9.22 %
Percent of long-stay residents who lose too much weight
3.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
34.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.8 %
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
5.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
20.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.9 %
17.34 %

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