MARYWOOD NURSING CARE CENTER

Nursing Home Inspector

36975 W FIVE MILE RD
LIVONIA, MI 48154
Wayne County
Phone: 734-464-0600
Provider Number: 235530
Last Inspection: 07/13/2017

About the Nursing Home

Number of Beds: 103
Number of Residents: 98
Beds Available: 5
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Church related
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

 

9

Facility
33

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
14

2016
23

2015

Medicare Ratings

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

 

Details by Inspection Date

7/13/2017 Inspection

 
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 8/18/2017
 
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 8/18/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/18/2017
 

9/22/2016 Inspection

 
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. Pattern : Minimal 4 10/24/2016
 
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 10/24/2016
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Isolated : Minimal 3 10/24/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/24/2016
 

9/1/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 9/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/30/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/30/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/30/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/30/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 98 100.77 85.64
Registered Nurses 1.38 0.64 0.89
Licensed Practical / Vocational Nurses 1.09 1.06 0.84
Certified Nursing Assistants 3.01 2.23 2.54
Total Staff Hours 5.48 3.93 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 10 8 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 86 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89 86 92
of long-stay residents experiencing one or more falls with major injury 1 1 3
of long-stay residents who have depressive symptoms 1 1 2
of long-stay residents who lose too much weight 10 6 7
of long-stay residents who received an antianxiety or hypnotic medication 13 20 22
of long-stay residents who received an antipsychotic medication 19 13 12
of long-stay residents who self-report moderate to severe pain 4 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 15 17
of long-stay residents whose need for help with daily activities has increased 7 13 14
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 0 1 3
of low risk long-stay residents who lose control of their bowels or bladder 75 50 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 64 80
of short-stay residents who had an outpatient emergency department visit 7 10 11
of short-stay residents who made improvements in function 58 68 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 16 14 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 66 79
of short-stay residents who were rehospitalized after a nursing home admission 18 27 21
of short-stay residents who were successfully discharged to the community 70 46 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 0