LAKESHORE HEALTHCARE SKILLED NURSING & SPECIALTY CENTER
Address
9146 WOODWARD AVE
DETROIT, MI 48202
(313) 875-1263
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 90
- Certified Beds: 110
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Not Part of a Chain or Franchise
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 Lakeshore Healthcare Skilled Nursing & Specialty Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 8.5% |
ADL Index Range: 6-10 | 15.3% |
ADL Index Range: 0-5 | 43.4% |
Total Percent: | 67.1% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 5.1% |
ADL Index Range: 6-10 | 9.8% |
ADL Index Range: 0-5 | 11.7% |
Total Percent: | 26.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 0-5 | 1.1% |
Total Percent: | 1.1% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 0.6% |
ADL Index Range: 0-5 | 1.0% |
Total Percent: | 1.5% |
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: 11-14 - No Signs of depression | 3.0% |
Total Percent: | 3.0% |
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: 6-10 - No Signs of depression | 0.6% |
Total Percent: | 0.6% |
Rating Details For Lakeshore Healthcare Skilled Nursing & Specialty 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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 16 Minutes | 1 Hour and 9 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 43 Minutes | 40 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 12 Minutes | 2 Hours and 12 Minutes |
Total Licensed Nurse Hours | 59 Minutes | 1 Hour and 49 Minutes |
Total Nurse Hours | 3 Hours and 11 Minutes | 4 Hours and 1 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 Facility | Michigan Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90% | 89% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 3% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 3% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 15% | 10% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 5% | 12% |
Percent of Long-Stay Residents Who Were Physically Restrained | 4% | 5% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 4% | 13% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 1% | 10% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 8% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 50% | 52% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 60% | 84% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 60% | 84% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 4% | 21% |
Percent of Short-Stay Residents Who Have Delirium | 4% | 2% |
Percent of Short-Stay Residents Who Have Pressure Sores | 20% | 11% |
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 08/13/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Provide Needed Housekeeping and Maintenance.
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Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Keep All Essential Equipment Working Safely.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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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.
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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 Taken | Date | Amount |
Civil Money Penalty (CMP) | 08/20/2009 | $975 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Lakeshore Healthcare Skilled Nursing & Specialty 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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Quality Care
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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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 Lakeshore Healthcare Skilled Nursing & Specialty 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 08/11/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Building Construction
Approved Construction Type or Materials.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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A Separate and Independent Backup Electrical Power Source.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
Properly Maintained Smoke Detectors.
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An Automatic Smoke Detection System in All Hallways.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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An Automatic Smoke Detection System in All Hallways.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Properly Located and Lighted "Exit" Signs.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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No-Smoking Signs Where Oxygen is Used.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Protected Exits That Allow the Resident to Escape the Building.
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