HAMILTON NURSING HOME

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

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 08/05/2010.

Environmental

Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/18/2008 Correction Date: 10/03/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/10/2009 Correction Date: 08/03/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/10/2009 Correction Date: 08/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/05/2010 Correction Date: 09/10/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/05/2010 Correction Date: 09/10/2010

Mistreatment

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. Inspection Date: 08/05/2010 Correction Date: 09/10/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/05/2010 Correction Date: 09/10/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/18/2008 Correction Date: 10/03/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 07/10/2009 Correction Date: 08/03/2009
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: 08/05/2010 Correction Date: 09/10/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 07/10/2009 Correction Date: 08/03/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 08/05/2010 Correction Date: 09/10/2010

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 Hamilton Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 08/14/2008 Correction Date: 10/14/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 08/14/2008 Correction Date: 10/14/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/14/2008 Correction Date: 10/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/25/2010 Correction Date: 09/17/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/26/2011 Correction Date: 05/15/2011

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 Hamilton Nursing Home 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 08/05/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/14/2009 Correction Date: 08/03/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/05/2010 Correction Date: 08/26/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/05/2010 Correction Date: 08/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 07/14/2009 Correction Date: 08/03/2009

Electrical

Proper Power Supply for Life Support Equipment. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/14/2009 Correction Date: 08/03/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/05/2010 Correction Date: 08/26/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 07/14/2009 Correction Date: 08/03/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/17/2008 Correction Date: 10/10/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/17/2008 Correction Date: 10/10/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/17/2008 Correction Date: 10/10/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/14/2009 Correction Date: 08/03/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/17/2008 Correction Date: 10/10/2008