ALTERCARE OF BIG RAPIDS CTR FOR REHAB & NURSING CA

Nursing Home Inspector

805 WEST AVE
BIG RAPIDS, MI 49307
Mecosta County
Phone: 231-796-3185
Provider Number: 235459
Last Inspection: 12/07/2016

About the Nursing Home

Number of Beds: 100
Number of Residents: 76
Beds Available: 24
Percent Occupancy: 76%
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

 

77

Facility
56

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

77

2016
27

2015
8

2015

Medicare Ratings

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

 

Details by Inspection Date

12/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 : Potential 3 3/7/2017
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 1/10/2017
 
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 3/7/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/10/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 1/10/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 1/10/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 3/7/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 3/7/2017
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 1/10/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 1/10/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/10/2017
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 1/10/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 1/10/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/10/2017
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Potential 3 1/10/2017
 
Failed To: Ensure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. Widespread : Minimal 5 1/10/2017
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Widespread : Minimal 5 3/7/2017
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 1/10/2017
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 3/7/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 3/7/2017
 

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 12/22/2015
 
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 12/22/2015
 
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. Pattern : Minimal 4 12/22/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/22/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/22/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/22/2015
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Potential 4 12/22/2015
 

1/9/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 1/29/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/29/2015
 

Complaint Investigation Deficiencies

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

7/14/2017 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 8/14/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/14/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 8/14/2017
 

8/14/2015 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 : Minimal 3 9/4/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 76 70.00 85.64
Registered Nurses 1.43 1.24 0.89
Licensed Practical / Vocational Nurses 0.06 0.23 0.84
Certified Nursing Assistants 2.60 2.39 2.54
Total Staff Hours 4.08 3.86 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 2 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 91 92
of long-stay residents experiencing one or more falls with major injury 4 4 3
of long-stay residents who have depressive symptoms 8 5 2
of long-stay residents who lose too much weight 7 8 7
of long-stay residents who received an antianxiety or hypnotic medication 9 13 22
of long-stay residents who received an antipsychotic medication 2 4 12
of long-stay residents who self-report moderate to severe pain 0 3 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 7 13 17
of long-stay residents whose need for help with daily activities has increased 10 9 14
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 2 1 3
of low risk long-stay residents who lose control of their bowels or bladder 57 52 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 76 84 80
of short-stay residents who had an outpatient emergency department visit 6 12 11
of short-stay residents who made improvements in function 61 64 71
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 11 22 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 18 21 21
of short-stay residents who were successfully discharged to the community 49 59 56
of short-stay residents with pressure ulcers that are new or worsened 1 1 0