MARTHA T BERRY MEDICAL CARE FACILITY - MOUNT CLEMENS, MI

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Address

43533 ELIZABETH RD
MOUNT CLEMENS, MI, 48043

Phone (make sure to verify first before calling): (586) 469-5265

Number of Certified Beds: 217
Total Number of Residents: 206
Percent of Occupied Beds: 95%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
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: 5 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.50
Certified Nurse Aides - Full Time: 88.21
Certified Nurse Aides - Part Time: 7.13
Dietitians - Under Contract: 0.19
Food Service Personnel - Full Time: 14.91
Food Service Personnel - Part Time: 4.30
Housekeeping Personnel - Full Time: 4.91
Licensed Practical/ Vocational Nurses - Full Time: 13.03
Medical Directors - Under Contract: 0.71
Mental Health Services Personnel - Under Contract: 0.40
Nurses With Administrative Duties - Full Time: 12.49
Persons Not Included In Any Other Categories - Full Time: 34.11
Physical Therapists - Under Contract: 1.44
Registered Nurses - Full Time: 17.29
Rn Director Of Nursing - Full Time: 1.33
Social Workers - Full Time: 4.20
Activities Professionals - Full Time: 1.07
Dentists - Under Contract: 0.06
Occupational Therapists - Under Contract: 0.77
Pharmacists - Under Contract: 0.13
Food Service Personnel - Under Contract: 1.06
Podiatrists - Under Contract: 0.10
Speech Pathologists - Under Contract: 0.19
Other Physicians - Under Contract: 0.36
Physician Extenders - Under Contract: 0.86
Registered Nurses - Under Contract: 0.80
Persons Not Included In Any Other Categories - Part Time: 2.87
Registered Nurses - Part Time: 1.14
Occupational Therapy Assistants - Under Contract: 1.60
Housekeeping Personnel - Part Time: 0.57
Licensed Practical/ Vocational Nurses - Under Contract: 9.17
Certified Nurse Aides - Under Contract: 8.54

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
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.140
State:	0.749

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.660
Michigan:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.790
Michigan:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.112

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	5.3%
State:	14.8%

Percent of long-stay residents who self-report moderate to severe pain

Here:	9.9%
Michigan:	10.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	6.7%
State:	6.3%

Percent of long-stay residents who lose too much weight

Here:	8.1%
Michigan:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	64.3%
Michigan:	48.3%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.0%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	6.1%
Michigan:	6.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.6%
Michigan:	4.8%

Percent of long-stay residents who were physically restrained

This Nursing Home:	12.5%
State:	2.6%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.5%
State:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	99.5%
State:	92.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	99.5%
Michigan:	94.6%

Percent of short-stay residents who self-report moderate to severe pain

Here:	16.7%
Michigan:	21.5%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	2.8%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	69.4%
Michigan:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	86.8%
State:	82.9%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	4.5%
State:	1.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	29.2%
State:	16.0%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

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

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

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

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

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

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

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

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)

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

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

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

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (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)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

Exit stairways and towers that are smoke proof: Some (Minimal harm or potential for actual harm)

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

Record of quarterly fire drills for each shift under varying conditions: Some (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)

An approved automatic sprinkler system connected to the fire alarm system: 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)

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

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

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

Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Many (Minimal harm or potential for actual harm)

The appropriate emergency electrical equipment: Many (Minimal harm or potential for actual harm)

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

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

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

Doors of sufficient width and proper construction in smoke barriers: Some (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)

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

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

Record of quarterly fire drills for each shift under varying conditions: 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)

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

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

Proper construction of ducts through walls designed to prevent smoke passage: Many (Minimal harm or potential for actual harm)

The appropriate emergency electrical equipment: Some (Minimal harm or potential for actual harm)

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

Make sure services provided by the nursing facility meet professional standards of quality: 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)

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

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

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

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

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

Exits that are accessible at all times: 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)

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

Proper facilities for the use and storage of combustible liquids: 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)

Reasonably accommodate the needs and preferences of each resident: 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)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Some (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 (Minimal harm or potential for actual harm)

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

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

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

ABF HOME HEALTH SERVICES (1.74 miles)
CLINTONVIEW CARE INC (2.26 miles)
LAKEPOINTE SENIOR CARE AND REHAB CENTER, L L C (CLINTON TOWNSHIP, 2.92 miles)
LAKEPOINTE VILLA (2.26 miles)
MOUNT CLEMENS REGIONAL MEDICAL CENTER (2.02 miles)
PREFERRED HOME CARE, INC (1.63 miles)
SELECT SPECIALTY HOSPITAL-MACOMB CTY INC (0.62 miles)

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