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ST JAMES NURSING CENTER

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ST JAMES NURSING CENTER VS
Nursing Homes USA
General
City DETROIT   0.2% Nursing Homes USA have DETROIT
State attribute explanation MI   2.8% Nursing Homes USA have MI
Street 15063 GRATIOT AVE  
Zip Code 48205  
Phone 3133724065  
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
150 
108.94
Total Number of Residents
101 
91.25
Percent of Occupied Beds
67 %
83.65 %
Health Survey Date 4/27/2012  
Fire Survey Date 4/27/2012  
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? No  45.1% Nursing Homes USA don't 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? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
22 
7.48
Staff Information
Number of Residents
101 
91.38
Number of RN Hours Per Resident Per Day
0.38 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.02 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.4 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 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: 08/31/2010
date Of Correction: 10/28/2010 
Deficiency #2 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: 06/24/2010
date Of Correction: 06/28/2010 
Deficiency #3 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: 06/03/2010
date Of Correction: 06/17/2010 
Deficiency #4 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: 07/17/2009
date Of Correction: 08/31/2009 
Deficiency #5 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: 05/26/2009
date Of Correction: 08/31/2009 
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: 08/18/2009
date Of Correction: 09/22/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/17/2009
date Of Correction: 08/31/2009 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/26/2009
date Of Correction: 08/04/2009 
Deficiency #4 Scope: Some
level Of Harm: 4
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: 05/26/2009
date Of Correction: 09/22/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 04/27/2011
date Of Correction: 04/29/2011 
Deficiency #2 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: 06/03/2010
date Of Correction: 06/17/2010 
Deficiency #3 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: 05/26/2009
date Of Correction: 08/04/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/03/2010
date Of Correction: 06/17/2010 
Deficiency #2 Scope: Some
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: 11/17/2009
date Of Correction: 12/28/2009 
Deficiency #3 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: 11/17/2009
date Of Correction: 12/28/2009 
Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/18/2009
date Of Correction: 09/22/2009 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/18/2009
date Of Correction: 09/22/2009 
Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/26/2009
date Of Correction: 09/22/2009 
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: 06/24/2010
date Of Correction: 06/28/2010 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 05/26/2009
date Of Correction: 08/04/2009 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 05/26/2009
date Of Correction: 08/04/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 05/26/2009
date Of Correction: 08/04/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.9-28 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
7.8 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
15 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
13.3 %
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
32.5 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
8.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.8 %
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
47.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
27.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
23.9 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
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
14.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
19.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
12.7 %
9.22 %
Percent of long-stay residents who lose too much weight
2.20 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1 %
9.58 %
Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
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
0.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
40.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
26.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
25.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3 %
17.34 %

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