MAPLE MANOR REHAB CENTER OF NOVI INC

Nursing Home Inspector

31215 NOVI ROAD
NOVI, MI 48377
Oakland County
Phone: 248-624-8800
Provider Number: 235669
Last Inspection: 04/06/2017

About the Nursing Home

Number of Beds: 72
Number of Residents: 59
Beds Available: 13
Percent Occupancy: 82%
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

 

52

Facility
35

County
31

MI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

52

2017
3

2016
13

2015

Medicare Ratings

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

 

Details by Inspection Date

4/6/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/21/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 4/21/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/21/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 4/21/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/21/2017
 
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 4/21/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 4/21/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/21/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 4/21/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/21/2017
 
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 4/21/2017
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 4/21/2017
 
Failed To: 1) Give or get tests or x-rays that meet hospital requirements; or 2) to obtain an agreement for these services from an approved provider or supplier. Widespread : Minimal 5 4/21/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/21/2017
 

4/13/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 5/2/2016
 

5/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 6/18/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/18/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 6/18/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/18/2015
 

Complaint Investigation Deficiencies

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

5/22/2015 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 6/10/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MI State Avg
Number of Residents 59 89.33 85.64
Registered Nurses 1.74 0.91 0.89
Licensed Practical / Vocational Nurses 0.45 1.10 0.84
Certified Nursing Assistants 3.01 2.24 2.54
Total Staff Hours 5.20 4.25 4.27

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MI State Avg%
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 7 5
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 89 92
of long-stay residents experiencing one or more falls with major injury 0 89 92
of long-stay residents who have depressive symptoms 0 2 3
of long-stay residents who lose too much weight 0 1 2
of long-stay residents who received an antianxiety or hypnotic medication 36 7 7
of long-stay residents who received an antipsychotic medication 4 25 22
of long-stay residents who self-report moderate to severe pain 2 12 12
of long-stay residents who were physically restrained 0 4 6
of long-stay residents whose ability to move independently worsened 11 0 0
of long-stay residents whose need for help with daily activities has increased 9 15 17
of long-stay residents with a urinary tract infection 4 13 14
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 2 2
of short-stay residents who had an outpatient emergency department visit 7 3 3
of short-stay residents who made improvements in function 81 54 50
of short-stay residents who newly received an antipsychotic medication 0 73 80
of short-stay residents who self-report moderate to severe pain 9 9 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 69 71
of short-stay residents who were rehospitalized after a nursing home admission 22 2 1
of short-stay residents who were successfully discharged to the community 69 12 16
of short-stay residents with pressure ulcers that are new or worsened 0 74 79