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SPECTRUM HEALTH REHAB AND NSG CTRS-KELSEY HOSPITAL - LAKEVIEW, MI

 



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Address
418 WASHINGTON AVE
LAKEVIEW, MI, 48850
Phone (make sure to verify first before calling): (989) 352-7211

Number of Certified Beds: 31
Total Number of Residents: 28
Percent of Occupied Beds: 90%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Nonresidents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Non Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Non Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Non Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Non Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Non Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 17.80
Certified Nurse Aides - Part Time: 4.09
Dietitians - Under Contract: 1.14
Food Service Personnel - Full Time: 7.50
Food Service Personnel - Part Time: 3.20
Housekeeping Personnel - Full Time: 3.10
Licensed Practical/ Vocational Nurses - Full Time: 5.56
Licensed Practical/ Vocational Nurses - Part Time: 2.37
Nurses With Administrative Duties - Full Time: 1.14
Physical Therapists - Under Contract: 0.11
Registered Nurses - Full Time: 2.23
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Occupational Therapists - Under Contract: 0.11
Medical Directors - Full Time: 0.06
Speech Pathologists - Under Contract: 0.06
Registered Nurses - Part Time: 0.47

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Fewer than 100
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Usually
This Nursing Home:

9%
State:

18%
Always
Here:

91%
State:

78%

How often did doctors communicate well with patients?

Sometimes or never
This Nursing Home:

4%
State:

4%
Usually
This Nursing Home:

12%
Michigan:

17%
Always
Here:

84%
Michigan:

79%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

2%
State:

8%
Usually
This Nursing Home:

12%
State:

24%
Always
This Nursing Home:

86%
Michigan:

68%

How often was patients' pain well controlled?

Sometimes or never
This Nursing Home:

3%
State:

6%
Usually
Here:

13%
State:

23%
Always
This Nursing Home:

84%
Michigan:

71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never
Here:

17%
Michigan:

20%
Usually
Here:

13%
Michigan:

19%
Always
This Nursing Home:

70%
Michigan:

61%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never
This Nursing Home:

3%
State:

9%
Usually
This Nursing Home:

10%
Michigan:

20%
Always
This Nursing Home:

87%
State:

71%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never
This Nursing Home:

7%
State:

12%
Usually
Here:

27%
State:

31%
Always
This Nursing Home:

66%
Michigan:

57%

Were patients given information about what to do during their recovery at home?

Yes
Here:

97%
Michigan:

86%
No
This Nursing Home:

3%
State:

14%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower
Here:

6%
Michigan:

8%
7 or 8
Here:

11%
Michigan:

22%
9 or 10
Here:

83%
State:

70%

Would patients recommend the hospital to friends and family?

No
Here:

3%
State:

5%
Yes, probably
Here:

18%
Michigan:

25%
Yes, definitely
This Nursing Home:

79%
State:

70%

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

6.200%
Michigan:

7.381%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Nursing Home:

0.029%
State:

0.111%
Outpatients with brain CT scans who got a sinus CT scan at the same time
Here:

1.000%
Michigan:

2.361%

Quality Measures

Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

3.7%
State:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

100.0%
Michigan:

84.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

91.4%
Michigan:

82.9%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

4.0%
Michigan:

1.9%

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Here:

9
State:

9
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
This Nursing Home:

99.0%
Michigan:

95.4%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Here:

100.0%
Michigan:

99.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Here:

100.0%
Michigan:

96.5%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

93.0%
Michigan:

97.1%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Nursing Home:

100.0%
Michigan:

95.7%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Nursing Home:

100.0%
State:

95.8%

Outcome of Care

30-Day Mortality Rates from Pneumonia
This Nursing Home:

9.8%
Michigan:

11.4%
30-Day Readmission Rates from Heart Failure
Here:

23.6%
State:

25.2%
30-Day Readmission Rates from Pneumonia
Here:

16.5%
State:

18.7%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

1.140
Michigan:

0.749
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.690
Michigan:

0.782
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.840
Michigan:

1.525
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.100
Michigan:

0.109
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.100
Michigan:

0.112

Complaint Deficiency

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Have a program that investigates, controls and keeps infection from spreading: Few (Immediate jeopardy to resident health or safety)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Give the resident's representative the ability to exercise the resident's rights: Few (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Provide access to a telephone for resident to use in private: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: Some (Potential for minimal harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

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