CLARKSTON SPECIALTY HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Clarkston Specialty Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CLARKSTON SPECIALTY HEALTHCARE CENTER
4800 CLINTONVILLE RD
CLARKSTON, MI 48346
(248) 674-0903

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 107
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Waterford | Orion | Pontiac

Resident Services

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.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.4%
ADL Index Range: 2-103.3%
Total Percent:4.7%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.6%
ADL Index Range: 2-100.2%
Total Percent:0.8%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.5%
Total Percent:2.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-166.3%
ADL Index Range: 6-1021.8%
ADL Index Range: 0-523.9%
Total Percent:52.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.7%
ADL Index Range: 6-107.3%
ADL Index Range: 0-54.9%
Total Percent:18.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-100.1%
Total Percent:0.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
ADL Index Range: 6-102.0%
ADL Index Range: 0-51.4%
Total Percent:4.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
9.4%
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.4%
Total Percent:9.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.2%
Total Percent:0.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.6%
ADL Index Range: 6-10
- No Signs of depression
1.1%
ADL Index Range: 2-5
- Signs of depression
0.5%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:3.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.07%
ADL Index Range: 6-10
- No Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
0.03%
ADL Index Range: 0-1
- No Signs of depression
1.4%
Total Percent:1.8%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For Clarkston Specialty Healthcare Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours47 Minutes1 Hour and 31 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes50 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 12 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 36 Minutes2 Hours and 21 Minutes
Total Nurse Hours3 Hours and 49 Minutes4 Hours and 47 Minutes

Quality of Care -

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.

This FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination53%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season67%89%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%10%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder12%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair18%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%12%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder53%52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination29%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season37%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%21%
Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)01/07/2011$3,413
Civil Money Penalty (CMP)08/06/2008$29,120
Denial of Payment for New Admission (DPNA)08/06/2008-

Deficiencies from Complaints and Incidents

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

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

Fire Safety

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011