REDFORD GERIATRIC VILLAGE - DETROIT, MI

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Quality Measures

Staff Information

Complaint Deficiency

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

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 (Actual harm)

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

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

Allow the resident the right to participate in the planning or revision of the resident's care plan: Many (Potential for minimal harm)

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space: Few (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)

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

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

Automatic sprinkler systems that have been maintained in working order: Some (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 medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

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

Completely assess the resident at least every twelve months: Few (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Few (Minimal harm or potential for actual harm)

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

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: Few (Minimal harm or potential for actual harm)

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

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

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

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: Few (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)

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)

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

Did not have a written emergency evacuation plan: Some (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 special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Some (Minimal harm or potential for actual harm)

Make sure that all needed doctor visits are made personally by a doctor, as required. After initial doctor visit, care may be alternated by a physician assistant (PA) or nurse practitioner (NP): Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: 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: 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)

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

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

Properly installed electrical wiring and equipment: 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)

Provide access to a telephone for resident to use in private: 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)

Provide necessary care and services to maintain the highest well being of each resident : 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 (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: 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: Many (Minimal harm or potential for actual harm)