| General Information: ASHLEY CARE CENTER | |
|---|---|
| Nursing home name | ASHLEY CARE CENTER |
| Address | PO BOX 127 ASHLEY, MI 48806 |
| Phone number | (989) 847-2011 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| Owner operates multiple homes | No |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | BOTH |
| Certified number of beds | 63 |
| Total number of residents | 54 |
| Perc of occupied beds | 86 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 02/19/2010 |
| Fire survey date: | 02/18/2010 |
| Ratings Summary: ASHLEY CARE CENTER | |
|---|---|
| Overall rating |
4 out of 5 stars |
| Nursing Home Staffing |
5 out of 5 stars |
| Registered Nurses only |
5 out of 5 stars |
| Health Inspections |
2 out of 5 stars |
| Quality Measures |
5 out of 5 stars |
| Nursing Home Staffing Info: ASHLEY CARE CENTER | ||
|---|---|---|
| National Average | ASHLEY CARE CENTER | |
| Overall staff rating | Not Available. |
5 out of 5 stars |
| Registered Nurses only rating | Not Available |
5 out of 5 stars |
| Total Number of Residents | 94.2 | 54 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.53 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.89 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.64 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.89 hours |
| Health Inpections: ASHLEY CARE CENTER | |||
|---|---|---|---|
| Inspection Results: 02/19/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 03/15/2010 | Environmental Deficiencies | Have enough backup water supply for important areas of the nursing home. | F |
| 03/15/2010 | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | D |
| 03/15/2010 | Environmental Deficiencies | Have a program to keep infection from spreading. | E |
| 03/15/2010 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 03/15/2010 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
| 03/15/2010 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 03/15/2010 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 03/15/2010 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 03/15/2010 | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | B |
| Inspection Results: 04/03/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/30/2009 | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | E |
| 04/30/2009 | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | F |
| 04/30/2009 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | F |
| 04/30/2009 | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | E |
| 04/30/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 04/30/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 04/30/2009 | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | B |
| 04/30/2009 | Resident Rights Deficiencies | Give enough notice to the resident before changing the resident's room or roommate. | D |
| 04/30/2009 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
| 07/23/2009 | Mistreatment Deficiencies | 1) Hire only people who have 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. | E |
| 04/30/2009 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| Inspection Results: 05/22/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 06/03/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 06/02/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| Fire Safety Inpections: ASHLEY CARE CENTER | |||
|---|---|---|---|
| Inspection Results: 02/18/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 02/25/2010 | Medical Gases and Anesthetizing Areas Deficiencies | proper medical gas storage and administration areas. | D |
| 02/25/2010 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | F |
| 02/25/2010 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | D |
| Inspection Results: 04/01/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/02/2009 | Exits and Egress Deficiencies | exits that are accessible at all times. | D |
| 04/13/2009 | Automatic Sprinkler Systems Deficiencies | portable fire extinguishers. | F |
| 04/15/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | F |
| 04/06/2009 | Illumination and Emergency Power Deficiencies | properly located and lighted "Exit" signs. | E |
| 04/14/2009 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | D |
| 04/06/2009 | Exits and Egress Deficiencies | rooms that can be unlocked from inside without a key. | E |
| 04/13/2009 | Furnishings and Decorations Deficiencies | exits that are free from obstructions and can be used at all times. | E |
| 04/06/2009 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | E |
| 04/21/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| Inspection Results: 05/22/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 06/04/2008 | Electrical Deficiencies | weekly inspections and monthly testing of generators. | F |
| 05/23/2008 | Building Service Equipment Deficiencies | properly protected cooking facilities. | D |
| 05/23/2008 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | F |
| 05/23/2008 | Fire Alarm Systems Deficiencies | properly maintained smoke detectors. | F |
| 05/27/2008 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | F |
| 05/28/2008 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | F |
| 06/09/2008 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | F |
| Resident Complaints: ASHLEY CARE CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 09/28/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/22/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | H |
| Date Complaint Substantiated: 04/28/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 07/23/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | G |
| Date Complaint Substantiated: 09/19/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 11/14/2007 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | E |
| Quality Measures: ASHLEY CARE CENTER | ||
|---|---|---|
| Quality Measures | National Average | ASHLEY CARE CENTER |
| Overall quality rating | Not Available |
5 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 4% |
| Percent of long-stay residents who were physically restrained | 3% | 5% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 6% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 34% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 0% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 2% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 15% |
| Percent of long-stay residents who lose too much weight | 8% | 9% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 6% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 2% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 9% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Short-Stay Residents | ||
| Percent of short-stay residents who had moderate to severe pain | 19% | 18% |
| Percent of short-stay residents who have delirium | 2% | 1% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 90+% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 90+% |
| Percent of short-stay residents who have pressure sores | 13% | 7% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |