MEDILODGE OF CLARE

Nursing Home Inspector

600 SE 4TH ST
CLARE, MI 48617
Clare County
Phone: 989-386-7723
Provider Number: 235022
Last Inspection: 06/14/2017

About the Nursing Home

Number of Beds: 92
Number of Residents: 69
Beds Available: 23
Percent Occupancy: 75%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

47

Facility
49

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

47

2017
52

2016
25

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/14/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 7/14/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/14/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 7/14/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 8/7/2017
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated : Minimal 3 7/14/2017
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern : Minimal 4 7/14/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/14/2017
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 8/7/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 7/14/2017
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Widespread : Minimal 5 7/14/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 7/14/2017
 
Failed To: Give the resident's representative the ability to exercise the resident's rights. Pattern : Minimal 4 8/7/2017
 

8/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide adequate and comfortable lighting levels in all areas. Pattern : Minimal 4 9/22/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 9/22/2016
 
Failed To: 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. Pattern : Minimal 4 9/22/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/22/2016
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern : Minimal 4 9/22/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 9/22/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/22/2016
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 9/22/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 9/22/2016
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Potential 4 9/22/2016
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Widespread : Potential 4 9/22/2016
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 10/10/2016
 

9/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 10/1/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/1/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 10/1/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/1/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/1/2015
 
Failed To: Provide bedrooms that don't allow residents to see each other when privacy is needed. Pattern : Potential 3 10/1/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 10/1/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

6/16/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/6/2016
 

12/10/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/19/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/19/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 12/19/2014
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 69 68.50 85.64
Registered Nurses 0.80 0.70 0.89
Licensed Practical / Vocational Nurses 0.50 0.50 0.84
Certified Nursing Assistants 2.56 2.72 2.54
Total Staff Hours 3.86 3.92 4.27

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MI State Avg%
of high risk long-stay residents with pressure ulcers 7 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 90 95 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 92
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 0 0 2
of long-stay residents who lose too much weight 7 6 7
of long-stay residents who received an antianxiety or hypnotic medication 27 26 22
of long-stay residents who received an antipsychotic medication 10 9 12
of long-stay residents who self-report moderate to severe pain 2 2 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 18 17
of long-stay residents whose need for help with daily activities has increased 11 16 14
of long-stay residents with a catheter inserted and left in their bladder 1 0 2
of long-stay residents with a urinary tract infection 4 4 3
of low risk long-stay residents who lose control of their bowels or bladder 58 63 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 80 87 80
of short-stay residents who had an outpatient emergency department visit 13 11 11
of short-stay residents who made improvements in function 71 78 71
of short-stay residents who newly received an antipsychotic medication 1 0 1
of short-stay residents who self-report moderate to severe pain 14 12 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 87 79
of short-stay residents who were rehospitalized after a nursing home admission 20 20 21
of short-stay residents who were successfully discharged to the community 66 62 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 0