CAPITAL AREA HEALTH AND REHAB CENTER (LANSING, MI) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	8.1%
State:	14.8%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	13.3%
State:	10.4%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	11.8%
Michigan:	6.3%

Percent of long-stay residents who lose too much weight

Here:	3.9%
State:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	45.9%
State:	48.3%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	3.8%
Michigan:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	6.6%
State:	6.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.4%
Michigan:	4.8%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.6%
Michigan:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	96.1%
State:	92.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.7%
State:	94.6%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	17.9%
Michigan:	21.5%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	0.6%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	96.3%
Michigan:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	95.7%
State:	82.9%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	5.1%
Michigan:	1.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	23.7%
State:	16.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.270
Michigan:	0.749

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.540
State:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.810
State:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.130
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.130
State:	0.112

Complaint Deficiency

Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Potential for minimal harm
- Scope: Some
Make sure that special or therapeutic diets are ordered by the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have enough outside ventilation via a window or mechanical ventilation, or both
- Harm: Potential for minimal harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many

CAPITAL AREA HEALTH AND REHAB CENTER - LANSING, MI

Quality Measures

Staff Information

Complaint Deficiency

User Contributions:

Comment about this article, ask questions, or add new information about this topic: