CLARKSTON SPECIALTY HEALTHCARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Clarkston Specialty Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/07/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Follow All Laws and Professional Standards. Inspection Date: 01/08/2010 Correction Date: 01/27/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/03/2008 Correction Date: 11/26/2008
Keep All Essential Equipment Working Safely. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/07/2011 Correction Date: 01/28/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/07/2011 Correction Date: 01/28/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/03/2008 Correction Date: 11/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/08/2010 Correction Date: 01/27/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/07/2011 Correction Date: 01/28/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/07/2011 Correction Date: 01/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/07/2011 Correction Date: 01/28/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/07/2011 Correction Date: 01/28/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/07/2011 Correction Date: 01/28/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/07/2011 Correction Date: 01/28/2011

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 10/03/2008 Correction Date: 10/17/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/08/2010 Correction Date: 01/27/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 01/07/2011 Correction Date: 01/28/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/07/2011 Correction Date: 01/28/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Clarkston Specialty Healthcare Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/06/2008 Correction Date: 11/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/07/2010 Correction Date: 10/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/03/2011 Correction Date: 03/21/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 09/24/2010 Correction Date: 10/20/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 03/03/2011 Correction Date: 03/17/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 03/03/2011 Correction Date: 03/17/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 03/03/2011 Correction Date: 03/21/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/27/2009 Correction Date: 04/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 09/30/2009 Correction Date: 10/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 06/15/2010 Correction Date: 07/21/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 10/07/2010 Correction Date: 10/20/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 03/03/2011 Correction Date: 03/17/2011

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Clarkston Specialty Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/06/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/02/2008 Correction Date: 10/17/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/11/2010 Correction Date: 02/03/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 01/11/2010 Correction Date: 02/03/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 10/02/2008 Correction Date: 10/17/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/11/2010 Correction Date: 02/03/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/11/2010 Correction Date: 02/03/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/02/2008 Correction Date: 10/17/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/11/2010 Correction Date: 02/03/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/06/2011 Correction Date: 01/28/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/02/2008 Correction Date: 10/17/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 10/02/2008 Correction Date: 10/17/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/11/2010 Correction Date: 02/03/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/11/2010 Correction Date: 02/03/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/06/2011 Correction Date: 01/28/2011
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/06/2011 Correction Date: 01/28/2011