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SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY

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SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY VS
Nursing Homes USA
General
City MONROE   0.1% Nursing Homes USA have MONROE
State attribute explanation MI   2.8% Nursing Homes USA have MI
Street 610 WEST ELM AVENUE  
Zip Code 48162  
Phone 7342413660  
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
58 
108.94
Total Number of Residents
57 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 11/22/2011  
Fire Survey Date 11/22/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
57 
91.38
Number of RN Hours Per Resident Per Day
1.64 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.9 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.54 
1.59
Number of CNA Hours Per Resident Per Day
0.22 
5.49
Number Therapy Hours Per Resident Per Day
0.22 
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: 11/29/2011
date Of Correction: 12/07/2011 
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: 03/01/2011
date Of Correction: 03/02/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
6.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2.8 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
33.7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.1 %
12.58 %
Percent of long-stay residents who lose too much weight
2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder 18.2:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
12.5 %
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
29 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
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
10.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.1 %
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
31.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3 %
9.22 %
Percent of long-stay residents who lose too much weight
4.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
19.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
10.6 %
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
10.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
28.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 12.8:1 % 

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