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SANCTUARY AT MCAULEY - MUSKEGON, MI

 



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Address
1380 E SHERMAN BLVD
MUSKEGON, MI, 49444
Phone (make sure to verify first before calling): (231) 672-2578

Number of Certified Beds: 98
Total Number of Residents: 92
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
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: 3 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.79
Certified Nurse Aides - Full Time: 2.07
Certified Nurse Aides - Part Time: 36.64
Food Service Personnel - Full Time: 1.91
Food Service Personnel - Part Time: 7.76
Housekeeping Personnel - Full Time: 2.73
Licensed Practical/ Vocational Nurses - Full Time: 3.44
Licensed Practical/ Vocational Nurses - Part Time: 9.24
Nurses With Administrative Duties - Full Time: 4.69
Persons Not Included In Any Other Categories - Full Time: 4.00
Physical Therapists - Under Contract: 0.99
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.10
Occupational Therapists - Under Contract: 0.93
Persons Not Included In Any Other Categories - Under Contract: 0.34
Speech Pathologists - Under Contract: 0.74
Other Physicians - Under Contract: 0.54
Physician Extenders - Under Contract: 0.06
Dietitians - Full Time: 1.14
Registered Nurses - Part Time: 2.44
Occupational Therapy Assistants - Under Contract: 2.09
Social Workers - Part Time: 0.29
Housekeeping Personnel - Part Time: 5.74
Physical Therapy Aide - Under Contract: 1.83

Provided Services

  • 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 Offsite 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
Here:

0.560
State:

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

0.590
State:

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

1.160
State:

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

0.050
State:

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

0.050
Michigan:

0.112

Quality Measures

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

18.6%
Michigan:

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

4.7%
Michigan:

10.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

3.1%
Michigan:

6.3%
Percent of long-stay residents who lose too much weight
This Nursing Home:

9.6%
State:

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

47.1%
Michigan:

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

7.2%
State:

4.0%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

5.5%
Michigan:

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

1.5%
State:

4.8%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

1.4%
Michigan:

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

100.0%
Michigan:

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

98.6%
Michigan:

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

12.4%
State:

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

1.8%
State:

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

94.3%
State:

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

85.9%
State:

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

6.8%
Michigan:

16.0%

Complaint Deficiency

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

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: Some (Minimal harm or potential for actual harm)

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

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

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

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

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

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

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: Many (Minimal harm or potential for actual harm)

An automatic smoke detection system in all hallways: Many (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

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

Properly installed hallway dispensers for alcohol-based hand rub: Many (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)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: 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)

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: Some (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)

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

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: Some (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)

Emergency lighting that can last at least 1 1/2 hours: Many (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)

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

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

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

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

Provide housekeeping and maintenance services: 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)

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

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: 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)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

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