FREEMAN NURSING & REHAB COMMUNITY

Nursing Home Inspector

1805 PYLE DRIVE
KINGSFORD, MI 49802
Dickinson County
Phone: 906-774-1530
Provider Number: 235612
Last Inspection: 01/05/2017

About the Nursing Home

Number of Beds: 45
Number of Residents: 40
Beds Available: 5
Percent Occupancy: 89%
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

 

10

Facility
20

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

10

2017
37

2016
22

2015

Medicare Ratings

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

 

Details by Inspection Date

1/5/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/1/2017
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 1/30/2017
 

1/14/2016 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 : Actual 4 2/22/2016
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Pattern : Minimal 4 2/22/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/2/2016
 
Failed To: Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Isolated : Minimal 3 2/22/2016
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Pattern : Potential 3 2/22/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 2/22/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/22/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 2/22/2016
 
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 2/22/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/22/2016
 

3/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 5/4/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 5/4/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/4/2015
 
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 5/4/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/4/2015
 
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 5/4/2015
 

Complaint Investigation Deficiencies

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

6/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 7/13/2015
 
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 7/13/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/13/2015
 

6/4/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 6/17/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 40 71.50 85.64
Registered Nurses 0.88 0.93 0.89
Licensed Practical / Vocational Nurses 0.39 0.29 0.84
Certified Nursing Assistants 1.93 1.97 2.54
Total Staff Hours 3.20 3.20 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 3 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 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 1 3 3
of long-stay residents who have depressive symptoms 3 3 2
of long-stay residents who lose too much weight 6 5 7
of long-stay residents who received an antianxiety or hypnotic medication 20 18 22
of long-stay residents who received an antipsychotic medication 15 11 12
of long-stay residents who self-report moderate to severe pain 4 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 19 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 0 2 2
of long-stay residents with a urinary tract infection 8 4 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 99 94 80
of short-stay residents who had an outpatient emergency department visit 13 10 11
of short-stay residents who made improvements in function 88 88 71
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 10 15 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 96 79
of short-stay residents who were rehospitalized after a nursing home admission 13 11 21
of short-stay residents who were successfully discharged to the community 53 55 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 0