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LUTHERAN HOME - MONROE - MONROE, MI

 



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Address
1236 S MONROE ST
MONROE, MI, 48161
Phone (make sure to verify first before calling): (734) 241-9533

Number of Certified Beds: 122
Total Number of Residents: 106
Percent of Occupied Beds: 87%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
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: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 9.71
Administrative Staff - Part Time: 1.51
Certified Nurse Aides - Full Time: 67.27
Certified Nurse Aides - Part Time: 7.19
Food Service Personnel - Full Time: 2.43
Food Service Personnel - Part Time: 9.94
Housekeeping Personnel - Full Time: 12.81
Licensed Practical/ Vocational Nurses - Full Time: 7.37
Licensed Practical/ Vocational Nurses - Part Time: 3.59
Mental Health Services Personnel - Under Contract: 0.29
Nurses With Administrative Duties - Full Time: 7.07
Persons Not Included In Any Other Categories - Full Time: 6.61
Physical Therapists - Under Contract: 1.11
Registered Nurses - Full Time: 1.80
Rn Director Of Nursing - Full Time: 2.29
Social Workers - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 0.33
Occupational Therapists - Under Contract: 0.44
Podiatrists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.16
Other Physicians - Under Contract: 0.14
Dietitians - Full Time: 1.14
Registered Nurses - Part Time: 1.61
Occupational Therapy Assistants - Under Contract: 1.16
Social Workers - Part Time: 0.64
Housekeeping Personnel - Part Time: 2.84

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

43.2%
State:

14.8%
Percent of long-stay residents who self-report moderate to severe pain
Here:

5.3%
Michigan:

10.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

3.1%
Michigan:

6.3%
Percent of long-stay residents who lose too much weight
Here:

8.2%
Michigan:

7.4%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

40.6%
Michigan:

48.3%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

3.8%
Michigan:

4.0%
Percent of long-stay residents with a urinary tract infection
Here:

9.2%
State:

6.2%
Percent of long-stay residents who have depressive symptoms
Here:

11.9%
Michigan:

4.8%
Percent of long-stay residents who were physically restrained
This Nursing Home:

1.0%
Michigan:

2.6%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

9.0%
State:

2.8%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
State:

92.5%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

94.6%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

38.1%
Michigan:

21.5%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

0.8%
Michigan:

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

94.6%
Michigan:

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

96.5%
State:

82.9%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

1.0%
Michigan:

1.9%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

14.0%
Michigan:

16.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.470
State:

0.749
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.950
State:

0.782
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.420
State:

1.525
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.100
Michigan:

0.109
Number Therapy Hours Per Resident Per Day
Here:

0.100
Michigan:

0.112

Complaint Deficiency

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

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

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (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)

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

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

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

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

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

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

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

Store, cook, and serve food in a safe and clean way: 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)

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

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Minimal harm or potential for actual harm)

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

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

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (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)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (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 (Immediate jeopardy to resident health or safety)

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)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: 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)

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

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

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

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