LAW-DEN NURSING HOME - DETROIT, MI

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Quality Measures

Staff Information

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

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

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Few (Minimal harm or potential for actual harm)

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

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

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

Back-up procedures in place for a faulty automatic sprinkler system: Few (Minimal harm or potential for actual harm)

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Some (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Some (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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: Some (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 (Immediate jeopardy to resident health or safety)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: 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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (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)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

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

Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Some (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

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

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Few (Minimal harm or potential for actual harm)

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

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

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

Keep all essential equipment working safely: Many (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm)

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

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

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

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

A properly installed and maintained dumbwaiter or escalator: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (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)

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 (Immediate jeopardy to resident health or safety)

Give the right treatment and services to residents who have mental or psychosocial problems adjusting: 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 (Immediate jeopardy to resident health or safety)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (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)

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

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Minimal harm or potential for actual harm)

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

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm)

Employ or obtain outside professional resources providing services in the nursing home that meet professional standards: Few (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

• DETROIT OSTEOPATHIC HOSPITAL (HIGHLAND PARK, 0.69 miles)
• DETROIT PSYCHIATRIC INSTITUTE (0.89 miles)
• METROPOLITAN HOSPITAL (0.16 miles)
• PARK GERIATRIC VILLAGE (HIGHLAND PARK, 1.21 miles)
• LAKESHORE HEALTHCARE SKILLED NURSING AND SPECIALTY C (1.15 miles)
• ROYAL NURSING CENTER (HIGHLAND PARK, 0.84 miles)
• WOODWARD NURSING CENTER (1.13 miles)