CHRISTIAN PARK HEALTH CARE CENTER

Nursing Home Inspector

2415 5TH AVE SOUTH
ESCANABA, MI 49829
Delta County
Phone: 906-786-6907
Provider Number: 235244
Last Inspection: 11/30/2016

About the Nursing Home

Number of Beds: 99
Number of Residents: 95
Beds Available: 4
Percent Occupancy: 96%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

37

Facility 		19

County 		31

MI 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
37

2016		 6

2015		 8

2014

Medicare Ratings

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

 

Details by Inspection Date

11/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 12/28/2016
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 12/28/2016
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 12/28/2016
 
Failed To: 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. Isolated : Minimal 3 12/28/2016
 
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 12/28/2016
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Isolated : Minimal 3 12/28/2016
 
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 12/28/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/28/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/28/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/28/2016
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 12/28/2016
 

12/16/2015 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 1/4/2016
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Isolated : Minimal 3 1/4/2016
 

10/16/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 11/11/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/11/2014
 

Complaint Investigation Deficiencies

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

8/17/2016 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 8/31/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 95 74.67 85.64
Registered Nurses 0.84 1.17 0.89
Licensed Practical / Vocational Nurses 0.52 0.42 0.84
Certified Nursing Assistants 2.00 2.65 2.54
Total Staff Hours 3.36 4.23 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 6 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 93 97 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 97 92
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 3 2 2
of long-stay residents who lose too much weight 14 11 7
of long-stay residents who received an antianxiety or hypnotic medication 26 25 22
of long-stay residents who received an antipsychotic medication 15 12 12
of long-stay residents who self-report moderate to severe pain 6 6 6
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 13 12 17
of long-stay residents whose need for help with daily activities has increased 13 12 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 3 5 3
of low risk long-stay residents who lose control of their bowels or bladder 44 44 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 89 91 80
of short-stay residents who had an outpatient emergency department visit 15 11 11
of short-stay residents who made improvements in function 62 70 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 4 14 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 90 79
of short-stay residents who were rehospitalized after a nursing home admission 23 13 21
of short-stay residents who were successfully discharged to the community 51 61 56
of short-stay residents with pressure ulcers that are new or worsened 0 0 0