THE CARRIAGE HOUSE OF BAY CITY - BAY CITY, MI

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Address

2394 MIDLAND RD
BAY CITY, MI, 48706

Phone (make sure to verify first before calling): (989) 684-2303

Number of Certified Beds: 165
Total Number of Residents: 133
Percent of Occupied Beds: 81%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
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: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.94
Certified Nurse Aides - Full Time: 61.11
Certified Nurse Aides - Part Time: 31.44
Food Service Personnel - Full Time: 13.24
Food Service Personnel - Part Time: 9.77
Housekeeping Personnel - Full Time: 8.23
Licensed Practical/ Vocational Nurses - Full Time: 15.41
Licensed Practical/ Vocational Nurses - Part Time: 5.87
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.10
Nurses With Administrative Duties - Full Time: 11.69
Persons Not Included In Any Other Categories - Full Time: 4.21
Physical Therapists - Under Contract: 1.90
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.17
Activities Professionals - Full Time: 1.14
Occupational Therapists - Under Contract: 2.24
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.29
Dietitians - Full Time: 1.43
Persons Not Included In Any Other Categories - Part Time: 0.33
Registered Nurses - Part Time: 5.26
Housekeeping Personnel - Part Time: 4.64
Physical Therapy Aide - Under Contract: 1.11

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 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

Quality Measures

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

This Nursing Home:	9.8%
State:	14.8%

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

Here:	6.8%
State:	10.4%

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

This Nursing Home:	1.2%
State:	6.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.7%
State:	7.4%

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

This Nursing Home:	5.1%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	7.5%
Michigan:	6.2%

Percent of long-stay residents who have depressive symptoms

Here:	13.9%
Michigan:	4.8%

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

This Nursing Home:	1.9%
State:	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

This Nursing Home:	100.0%
State:	94.6%

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

This Nursing Home:	11.8%
State:	21.5%

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

This Nursing Home:	1.9%
State:	1.6%

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

This Nursing Home:	97.5%
State:	84.1%

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

This Nursing Home:	96.3%
State:	82.9%

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

Here:	3.5%
Michigan:	1.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	6.7%
State:	16.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.700
State:	0.749

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

Here:	1.120
Michigan:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.820
State:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.090
Michigan:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.090
State:	0.112

Complaint Deficiency

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Immediate jeopardy to resident health or safety)

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

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: 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)

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: Some (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: 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)

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture: Some (Potential for minimal harm)

Have enough outside ventilation via a window or mechanical ventilation, or both: Many (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Many (Minimal harm or potential for actual harm)

Fire-resistant interior walls: Few (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Many (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: 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: 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)

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

Emergency lighting that can last at least 1 1/2 hours: Some (Minimal harm or potential for actual harm)

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

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (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)

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)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Two separate exits in rooms of more than 1000 square feet: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (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)

An approved installation, maintenance and testing program for fire alarm systems: Some (Minimal harm or potential for actual harm)

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

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

Provide housekeeping and maintenance services: 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)

Give each resident enough fluids to keep them healthy and prevent dehydration: 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)

Store, cook, and serve food in a safe and clean way: Many (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)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Some (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: Few (Minimal harm or potential for actual harm)

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: 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: Few (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)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal 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)

Make sure that residents are safe from serious medication errors: 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)

Other nearby hospitals and nursing homes

BAY OSTEOPATHIC HOSPITAL (1.51 miles)
BAY SHORES SENIOR CARE AND REHAB CENTER (1.51 miles)
DAVITA - BAY CITY DIALYSIS (1.53 miles)
LONG TERM CARE HOSPITAL (LTCH) (1.51 miles)
BAY SPECIAL CARE CENTER (1.51 miles)

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