PILGRIM MANOR - GRAND RAPIDS, MI

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Address

2000 LEONARD N E
GRAND RAPIDS, MI, 49505

Phone (make sure to verify first before calling): (616) 458-1133

Number of Certified Beds: 55
Total Number of Residents: 42
Percent of Occupied Beds: 76%
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: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 11.46
Administrative Staff - Part Time: 1.33
Certified Nurse Aides - Full Time: 11.50
Certified Nurse Aides - Part Time: 10.53
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 13.06
Food Service Personnel - Part Time: 9.69
Housekeeping Personnel - Full Time: 2.04
Medical Directors - Under Contract: 0.31
Nurses With Administrative Duties - Full Time: 3.14
Physical Therapists - Under Contract: 0.57
Registered Nurses - Full Time: 0.97
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 1.83
Occupational Therapists - Under Contract: 0.43
Pharmacists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.21
Registered Nurses - Part Time: 1.50
Occupational Therapy Assistants - Under Contract: 0.69
Housekeeping Personnel - Part Time: 3.36

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 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:	1.210
Michigan:	0.749

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

Here:	0.690
State:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.900
State:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.060
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.060
Michigan:	0.112

Quality Measures

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

Here:	2.8%
Michigan:	4.0%

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:	100.0%
Michigan:	94.6%

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

Here:	10.4%
Michigan:	21.5%

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

Here:	94.7%
Michigan:	84.1%

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

Here:	92.8%
State:	82.9%

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

Here:	2.4%
Michigan:	1.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	10.0%
State:	16.0%

Complaint Deficiency

Fire-resistant interior walls: 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)

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: Few (Minimal harm or potential for actual harm)

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

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

An approved back-up procedure for a faulty fire alarm system: Many (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)

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: 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)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Provide adequate and comfortable lighting levels in all areas: 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)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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)

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)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Some (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)

Have a program that investigates, controls and keeps infection from spreading: Some (Potential for minimal 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: 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)

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)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Potential for minimal 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)

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)

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)

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

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