SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY (MONROE, MI) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.640
State:	0.749

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

Here:	0.900
Michigan:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.540
Michigan:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.220
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.220
Michigan:	0.112

Quality Measures

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

Here:	12.8%
Michigan:	14.8%

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

Here:	29.1%
State:	10.4%

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

This Nursing Home:	8.8%
State:	6.3%

Percent of long-stay residents who lose too much weight

Here:	4.2%
Michigan:	7.4%

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

This Nursing Home:	22.6%
State:	48.3%

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

This Nursing Home:	2.6%
Michigan:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	12.5%
State:	6.2%

Percent of long-stay residents who have depressive symptoms

Here:	2.1%
State:	4.8%

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

Here:	8.2%
State:	2.8%

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

Here:	100.0%
State:	92.5%

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

Here:	100.0%
Michigan:	94.6%

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

This Nursing Home:	30.0%
Michigan:	21.5%

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

Here:	100.0%
Michigan:	84.1%

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

This Nursing Home:	97.6%
State:	82.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	6.1%
State:	16.0%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- 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: Few
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- 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: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- 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
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Some

SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY - MONROE, MI

Staff Information

Quality Measures

Complaint Deficiency

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