SPECTRUM HEALTH REHAB AND NSG CTRS-KELSEY HOSPITAL - LAKEVIEW, MI
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Address 418 WASHINGTON AVEPhone (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
Employment Full-Time EquivalentAdministrative Staff - Full Time: 1.14Certified 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 ProvidersNumber of Completed Surveys: Fewer than 100Survey Response Rate: 37% How often did nurses communicate well with patients? Usually
Always
How often did doctors communicate well with patients? Sometimes or never
Usually
Always
How often did patients receive help quickly from hospital staff? Sometimes or never
Usually
Always
How often was patients' pain well controlled? Sometimes or never
Usually
Always
How often did staff explain about medicines before giving them to patients? Sometimes or never
Usually
Always
How often were the patients' rooms and bathrooms kept clean? Sometimes or never
Usually
Always
How often was the area around patients' rooms kept quiet at night? Sometimes or never
Usually
Always
Were patients given information about what to do during their recovery at home? Yes
No
How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)? 6 or lower
7 or 8
9 or 10
Would patients recommend the hospital to friends and family? No
Yes, probably
Yes, definitely
Use of Medical ImagingOutpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Outpatient CT scans of the abdomen that were combination (double) scans.
Outpatients with brain CT scans who got a sinus CT scan at the same time
Quality MeasuresPercent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Process of CareHeart AttackAverage number of minutes before outpatients with chest pain or possible heart attack got an ECG
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Heart FailurePercent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
PneumoniaPercent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Percent of Patients Assessed and Given Pneumococcal Vaccination
Outcome of Care30-Day Mortality Rates from Pneumonia
30-Day Readmission Rates from Heart Failure
30-Day Readmission Rates from Pneumonia
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Complaint DeficiencyExits 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) Other nearby hospitals and nursing homes
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