EATON COUNTY MEDICAL CARE FACI - CHARLOTTE, MI

Submitted by:

Stacey Schultz, Human Resource Manager

LPN-Full Time=14
LPN-Part TIme=1.5
RN-Full Time=5
Activity Professional=6
CNA-Full Time=40
CNA-Part Time=12
Occupational Therapist-Full Time=2
Occupational Therapist-Part Time=1.5
Other Activities-Part Time=1.5
Social Worker-Full Time=2

Institution representatives - add corrected or new information about EATON COUNTY MEDICAL CARE FACI »

Addresss:

530 W BEECH ST
CHARLOTTE, MI, 48813

Phone (make sure to verify first before calling): (517) 543-2940

Number of Certified Beds: 142
Total Number of Residents: 136
Percent of Occupied Beds: 96%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Other nearby hospitals and nursing homes

ACTIVE HOME HEALTH CARE SERVICES, INC (LANSING, 14.14 miles)
EATON MANOR, INC (1.93 miles)
EATON RAPIDS MEDICAL CENTER (EATON RAPIDS, 11.09 miles)
FMC - CHARLOTTE (1.18 miles)
HAYES GREEN BEACH HOMECARE (1.46 miles)
HAYES GREEN BEACH MEMORIAL HOSPITAL (1.17 miles)
DIMONDALE NURSING CARE CENTER (DIMONDALE, 11.71 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 11.63

Certified Nurse Aides - Full Time: 38.44

Certified Nurse Aides - Part Time: 23.97

Dietitians - Under Contract: 0.23

Food Service Personnel - Full Time: 10.67

Food Service Personnel - Part Time: 9.44

Housekeeping Personnel - Full Time: 8.79

Licensed Practical/ Vocational Nurses - Full Time: 9.41

Licensed Practical/ Vocational Nurses - Part Time: 5.04

Medical Directors - Under Contract: 0.14

Nurses With Administrative Duties - Full Time: 4.36

Persons Not Included In Any Other Categories - Full Time: 8.43

Registered Nurses - Full Time: 5.84

Rn Director Of Nursing - Full Time: 1.03

Social Workers - Full Time: 2.17

Activities Professionals - Full Time: 1.14

Dentists - Under Contract: 0.03

Occupational Therapists - Part Time: 0.67

Physical Therapists - Part Time: 0.54

Physician Extenders - Under Contract: 0.14

Sppech Pathologists - Full Time: 2.17

Persons Not Included In Any Other Categories - Part Time: 1.14

Social Workers - Part Time: 0.73

Housekeeping Personnel - Part Time: 2.87

Occupational Therapists - Full Time: 2.17

Number Of Beds

Total: 100

Total Certified: 100

For Residents With Alzeheimers: 24

Provided Services

Activities Services Are Provided Onsite To Nonresidents

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Non Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Non Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Non Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Offsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Non Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender Services Are Provided Onsite To Non Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.100
Michigan:	0.749

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

Here:	0.590
State:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.700
State:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.130
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.130
Michigan:	0.112

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for 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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- 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: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- 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: Few
Portable fire extinguishers
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Fire-resistant interior walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Fire-resistant room wall surfaces
- Harm: Minimal harm or potential for actual 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
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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: Some
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- 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: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- 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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Quality Measures

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

Here:	17.2%
State:	14.8%

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

This Nursing Home:	7.5%
Michigan:	10.4%

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

Here:	1.7%
Michigan:	6.3%

Percent of long-stay residents who lose too much weight

Here:	5.0%
State:	7.4%

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

Here:	46.3%
State:	48.3%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	14.7%
State:	6.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.0%
Michigan:	4.8%

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

This Nursing Home:	4.9%
Michigan:	2.8%

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

Here:	100.0%
Michigan:	92.5%

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

This Nursing Home:	100.0%
Michigan:	94.6%

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

This Nursing Home:	22.8%
State:	21.5%

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

Here:	100.0%
State:	84.1%

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

Here:	98.1%
State:	82.9%

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

This Nursing Home:	0.6%
Michigan:	1.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.9%
Michigan:	16.0%

EATON COUNTY MEDICAL CARE FACI - CHARLOTTE, MI

Staff Information

Complaint Deficiency

Quality Measures

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