THE TIMBERS OF CASS COUNTY (DOWAGIAC, MI) Detailed Nursing Home Profile

Complaint Deficiency

Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.890
Michigan:	0.749

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

This Nursing Home:	1.490
Michigan:	0.782

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	2.380
Michigan:	1.525

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
State:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.070
Michigan:	0.112

Quality Measures

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

This Nursing Home:	8.3%
Michigan:	14.8%

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

This Nursing Home:	15.4%
State:	10.4%

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

This Nursing Home:	11.9%
State:	6.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	13.3%
State:	7.4%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	3.3%
State:	6.2%

Percent of long-stay residents who have depressive symptoms

Here:	4.9%
State:	4.8%

Percent of long-stay residents who were physically restrained

This Nursing Home:	4.8%
State:	2.6%

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

This Nursing Home:	1.6%
Michigan:	2.8%

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

This Nursing Home:	98.4%
State:	92.5%

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

Here:	100.0%
State:	94.6%

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

This Nursing Home:	29.6%
Michigan:	21.5%

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

This Nursing Home:	89.2%
Michigan:	84.1%

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

Here:	87.8%
Michigan:	82.9%

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

Here:	2.0%
Michigan:	1.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	18.6%
State:	16.0%

THE TIMBERS OF CASS COUNTY - DOWAGIAC, MI

Complaint Deficiency

Staff Information

Quality Measures

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