Hospital and Nursing Home Profiles  

ST MARY'S NURSING AND REHAB CENTER - SAINT CLAIR SHORES, MI

 



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Address
22601 E NINE MILE RD
SAINT CLAIR SHORES, MI, 48080
Phone (make sure to verify first before calling): (586) 772-4300

Number of Certified Beds: 101
Total Number of Residents: 84
Percent of Occupied Beds: 83%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For 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: 2 Stars
Health Inspections Star Rating: 2 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: 4.57
Certified Nurse Aides - Full Time: 14.51
Certified Nurse Aides - Part Time: 7.20
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 5.69
Food Service Personnel - Part Time: 4.89
Housekeeping Personnel - Full Time: 1.71
Licensed Practical/ Vocational Nurses - Full Time: 8.57
Licensed Practical/ Vocational Nurses - Part Time: 6.29
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.09
Nurses With Administrative Duties - Full Time: 3.43
Persons Not Included In Any Other Categories - Full Time: 6.14
Physical Therapists - Under Contract: 2.29
Registered Nurses - Full Time: 1.03
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Dentists - Under Contract: 0.09
Occupational Therapists - Under Contract: 1.14
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.57
Physician Extenders - Under Contract: 0.11
Persons Not Included In Any Other Categories - Part Time: 0.43
Registered Nurses - Part Time: 2.44
Occupational Therapy Assistants - Under Contract: 1.14
Housekeeping Personnel - Part Time: 0.37
Licensed Practical/ Vocational Nurses - Under Contract: 0.80
Physical Therapy Aide - Under Contract: 1.14
Certified Nurse Aides - Under Contract: 0.57

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 Offsite 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:

0.680
State:

0.749
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.810
State:

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

1.480
Michigan:

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

0.270
State:

0.109
Number Therapy Hours Per Resident Per Day
Here:

0.270
Michigan:

0.112

Quality Measures

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

6.7%
Michigan:

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

10.7%
State:

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

12.2%
State:

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

18.3%
State:

7.4%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

4.8%
Michigan:

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

1.4%
State:

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

20.8%
State:

4.8%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

90.4%
Michigan:

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

76.0%
Michigan:

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

30.9%
Michigan:

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

1.8%
Michigan:

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

70.6%
Michigan:

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

70.9%
State:

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

2.1%
Michigan:

1.9%
Percent of long-stay residents who received an antipsychotic medication
Here:

16.2%
Michigan:

16.0%

Complaint Deficiency

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)

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

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

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

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

Post nurse staffing information/data on a daily basis: 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)

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

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

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Few (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: 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)

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: Some (Minimal harm or potential for actual harm)

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

Properly installed electrical wiring and equipment: 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)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: 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 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)

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

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal 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: 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 (Immediate jeopardy to resident health or safety)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: 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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: 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)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (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)

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

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

Proper medical gas storage and administration areas: 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)

Properly installed electrical wiring and equipment: Some (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)

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)

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)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Some (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)

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)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Few (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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