SHIAWASSEE COUNTY MED CARE FAC

Nursing Home Inspector

729 S NORTON
CORUNNA, MI 48817
Shiawassee County
Phone: 989-743-3491
Provider Number: 235067
Last Inspection: 09/21/2017

About the Nursing Home

Number of Beds: 136
Number of Residents: 102
Beds Available: 34
Percent Occupancy: 75%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - County
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

 

38

Facility
55

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

38

2017
33

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

9/21/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Minimal 4 10/30/2017
 
Failed To: Let residents talk to and get information from agencies acting on their behalf. Pattern : Minimal 4 10/30/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 10/30/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 10/30/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/30/2017
 
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 10/30/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 10/30/2017
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 10/30/2017
 
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 10/30/2017
 
Failed To: Keep complete, dated laboratory records in the resident's file. Isolated : Minimal 3 10/30/2017
 

9/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents talk to and get information from agencies acting on their behalf. Widespread : Potential 4 11/6/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 11/6/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 11/6/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/6/2016
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 11/6/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/6/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 11/6/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/6/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated : Minimal 3 11/6/2016
 

9/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 10/13/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/13/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 10/13/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 10/13/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/13/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/13/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/13/2015
 

Complaint Investigation Deficiencies

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

7/7/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/11/2017
 

7/13/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 8/5/2016
 

5/19/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Minimal 4 6/15/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 6/15/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 6/15/2016
 

2/2/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 2/17/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 2/17/2016
 

10/15/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/28/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 102 87.00 85.64
Registered Nurses 1.28 1.40 0.89
Licensed Practical / Vocational Nurses 0.52 0.69 0.84
Certified Nursing Assistants 4.15 3.33 2.54
Total Staff Hours 5.94 5.41 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 5 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 95 92
of long-stay residents experiencing one or more falls with major injury 2 1 3
of long-stay residents who have depressive symptoms 5 1 2
of long-stay residents who lose too much weight 8 9 7
of long-stay residents who received an antianxiety or hypnotic medication 27 22 22
of long-stay residents who received an antipsychotic medication 7 12 12
of long-stay residents who self-report moderate to severe pain 12 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 30 24 17
of long-stay residents whose need for help with daily activities has increased 15 15 14
of long-stay residents with a catheter inserted and left in their bladder 2 3 2
of long-stay residents with a urinary tract infection 4 7 3
of low risk long-stay residents who lose control of their bowels or bladder 45 37 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 97 80
of short-stay residents who had an outpatient emergency department visit 17 10 11
of short-stay residents who made improvements in function 70 63 71
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 24 20 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 97 79
of short-stay residents who were rehospitalized after a nursing home admission 14 14 21
of short-stay residents who were successfully discharged to the community 53 61 56
of short-stay residents with pressure ulcers that are new or worsened 2 1 0